Individual provider Active NPI

Nancy Ann Marshall, STUDENT

  • Mental Health Counselor
  • Las Cruces, NM
National Provider Identifier
1073064028
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2027 Westwind Rd
Las Cruces, NM 88007-4536
Phone
(575) 888-7377
NPI assigned
Oct 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NM Primary

Addresses

Primary practice location

2027 Westwind Rd
Las Cruces, NM 88007-4536

Mailing address

2027 Westwind Rd
Las Cruces, NM 88007-4536
Phone (575) 888-7377

Other names 1

  • Nancy Baker Marshall Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250108002383 NM Practitioner - Mental Health Counselor 9234468869 Reassigns benefits to 1 organization
I20250806002184 CA Practitioner - Mental Health Counselor 9234468869 Practice locations: Temecula, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18943CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Mental Health Services Mental Health CurrentSince Dec 4, 2024 Accepting new patients
Equine Assisted Programs of Southern New Mexico LLC Mental Health CurrentSince Jul 8, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1073064028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 WESTWIND RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880074536",
            "telephone_number": "575-888-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 WESTWIND RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880074536",
            "telephone_number": "575-888-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "credential": "STUDENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "MARSHALL",
            "middle_name": "BAKER",
            "credential": "STUDENT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.