Rebecca Miran Cadden
Individual provider Active NPI Mental Health Counselor · Espanola, NM
NPI 1083079982 · NPPES record last updated Dec 18, 2015
Key facts
- NPI
- 1083079982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 404 Hunter St
Espanola, NM 87532-2655 - Phone
- (505) 753-4123
- Fax
- (505) 753-6947
- NPI assigned
- Dec 18, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Cumbres Community Services | Past | Accepting new patients | |
| Las Cumbres Community Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
404 Hunter St
Espanola, NM 87532-2655
Mailing address
404 Hunter St
Espanola, NM 87532-2655
Phone (505) 753-4123
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35588519 | Medicaid | NM |
Other providers in Espanola, NM
- Breath of My Heart
- Breath of My Heart Birthplace
- Antonio Thomas Brecevich
- Rudy Brown
- Desiree Bustos
- Karen M Cain
- Suzanne Call
- Jessica Lynn Callaway
- Brenda Cardozo
- Pamela Jeanne Carlson
All providers in Espanola, NM · Mental Health Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.