Active NPI
Joycelynn Mychele Cordero, LMHC
- Mental Health Counselor
- Rio Rancho, NM
National Provider Identifier
1093165052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- T-0178151
- Practice address
- 1400 Barbara Loop SE
Rio Rancho, NM 87124-1088 - Phone
- (505) 507-4408
- NPI assigned
- Jun 20, 2016
- Last updated
- Jun 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | T-0178151 | NM | Primary |
Addresses
Primary practice location
1400 Barbara Loop SE
Rio Rancho, NM 87124-1088
Mailing address
5316 Sooner TRL NW
Albuquerque, NM 87120-2949
Phone (505) 453-7175
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
| License | State | Type | Specialty |
|---|---|---|---|
| T-0178151 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rio Vista Counseling | Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rio Vista Counseling, LLC
- Mental Health Counselor
- Albuquerque, NM
- NPI 1063682458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1093165052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5316 SOONER TRL NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871202949",
"telephone_number": "505-453-7175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 BARBARA LOOP SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871241088",
"telephone_number": "505-507-4408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDERO",
"first_name": "JOYCELYNN",
"middle_name": "MYCHELE",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-20",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "T-0178151",
"primary": true
}
],
"identifiers": [],
"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 Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.