Organization Active NPI

Counseling and Mediation Services

  • Community/Behavioral Health Agency
  • Anthony, NM
National Provider Identifier
1053505115
Registry record updated May 6, 2009
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OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jan 20, 2013.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COUNSELING AND MEDIATION SERVICES
Practice address
880 Anthony Dr
Suite 3B
Anthony, NM 88021-9346
Phone
(575) 805-5089
Fax
(575) 882-1879
NPI assigned
Aug 31, 2007
Last updated
May 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Arcilia Holguin, LPCC
Title
Owner
Phone
(575) 882-5290

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NM
Community/Behavioral Health Agency 251S00000X NM Primary

Addresses

Primary practice location

880 Anthony Dr
Suite 3B
Anthony, NM 88021-9346

Mailing address

PO Box 1063
Las Cruces, NM 88004-1063
Phone (575) 805-5089

Other identifiers 1

IdentifierTypeStateIssuer
16070216MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

880 Anthony Dr
Ste 3B
Anthony, NM 88021
Phone (575) 526-9378

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1053505115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1063",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880041063",
            "telephone_number": "575-805-5089",
            "fax_number": "575-882-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 ANTHONY DR",
            "address_2": "SUITE 3B",
            "city": "ANTHONY",
            "state": "NM",
            "postal_code": "880219346",
            "telephone_number": "575-805-5089",
            "fax_number": "575-882-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND MEDIATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "HOLGUIN",
        "authorized_official_first_name": "ARCILIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-882-5290",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16070216",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthony, NM

Sources for this page

Verify at the official NPI Registry.