Active NPI
Carl Rey Trujillo, M.S., LADAC, LMHC
- Mental Health Counselor
- Alamogordo, NM
National Provider Identifier
1093722100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4370
- Practice address
- 1900 E. 10TH Street
Alamogordo, NM 88310 - Phone
- (575) 437-7404
- Fax
- (575) 439-2860
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0075251 | NM | |
| Mental Health Counselor | 101YM0800X | 4370 | NM | Primary |
Addresses
Primary practice location
1900 E. 10TH Street
Alamogordo, NM 88310
Mailing address
100 W Griggs Ave
Las Cruces, NM 88001-1234
Phone (575) 647-2800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96675551 | Medicaid | NM | |
| 83609750 | Medicaid | NM | |
| 18677037 | Medicaid | NM |
Other names 1
- Carlos Trujillo
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0075251 | NM | MD | Addiction (Substance Use Disorder) Counselor |
| 4370 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424217600000",
"number": "1093722100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W GRIGGS AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880011234",
"telephone_number": "575-647-2800",
"fax_number": "575-647-2898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 E. 10TH STREET",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "88310",
"telephone_number": "575-437-7404",
"fax_number": "575-439-2860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "CARL",
"middle_name": "REY",
"name_prefix": "Mr.",
"credential": "M.S., LADAC, LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "0075251",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "4370",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "96675551",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "83609750",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18677037",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARLOS",
"last_name": "TRUJILLO",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.