Individual provider Active NPI

Allyson Raffel, LMFT

  • Marriage & Family Therapist
  • Cedar Crest, NM
National Provider Identifier
1083257984
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
CMF0196331 Issued in NM
Practice address
12165 State Highway 14 N Ste B7
Cedar Crest, NM 87008-9538
Phone
(505) 913-7771
NPI assigned
Oct 23, 2019
Last updated
Oct 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X CMF0196331 NM Primary

Addresses

Primary practice location

12165 State Highway 14 N Ste B7
Cedar Crest, NM 87008-9538

Mailing address

12165 State Highway 14 N Ste B7
Cedar Crest, NM 87008-9538
Phone (505) 913-7771

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CMF0196331NMMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1083257984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12165 STATE HIGHWAY 14 N STE B7",
            "city": "CEDAR CREST",
            "state": "NM",
            "postal_code": "870089538",
            "telephone_number": "505-913-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12165 STATE HIGHWAY 14 N STE B7",
            "city": "CEDAR CREST",
            "state": "NM",
            "postal_code": "870089538",
            "telephone_number": "505-913-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFEL",
        "first_name": "ALLYSON",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CMF0196331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Crest, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.