Active NPI
Stefanie Juliano, MS, LMHC
- Professional Counselor
- Rio Rancho, NM
National Provider Identifier
1093046872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 4111 Barbara Loop SE Ste E1
Rio Rancho, NM 87124-1068 - Phone
- (505) 715-9587
- Fax
- (505) 672-7769
- NPI assigned
- Jan 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
4111 Barbara Loop SE Ste E1
Rio Rancho, NM 87124-1068
Mailing address
2218 Southern Blvd SE
#14
Rio Rancho, NM 87124-3797
Phone (505) 994-0161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36120324 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4111 Barbara Loop SE
Suite E1
Rio Rancho, NM 87124-1068
Phone (505) 273-9882
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico Wellness Center LLC | Professional | Current | Accepting new patients |
Locations
4111 Barbara Loop SE
Ste E1
Rio Rancho, NM 87124
Phone (505) 219-1973
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Rio Rancho, NM
- NPI 1467083956
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1093046872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2218 SOUTHERN BLVD SE",
"address_2": "#14",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871243797",
"telephone_number": "505-994-0161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 BARBARA LOOP SE STE E1",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871241068",
"telephone_number": "505-715-9587",
"fax_number": "505-672-7769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JULIANO",
"first_name": "STEFANIE",
"credential": "MS, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-19",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36120324",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.