Individual provider Active NPI

Martin Glenn Greer, PH.D.

  • Counseling Psychologist
  • Las Cruces, NM
National Provider Identifier
1093813826
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
415 Issued in NM
Practice address
1505 S Don Roser Dr Ste a
Las Cruces, NM 88011-4596
Phone
(575) 680-0682
Fax
(575) 222-2384
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 415 NM Primary

Addresses

Primary practice location

1505 S Don Roser Dr Ste a
Las Cruces, NM 88011-4596

Mailing address

1505 S Don Roser Dr Ste a
Las Cruces, NM 88011-4596
Phone (575) 680-0682

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031210000316 NM Practitioner - Clinical Psychologist 1355247495 Practice locations: Las Cruces, NM

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1395 Missouri Ave
Las Cruces, NM 88001-5327
Phone (575) 640-9731

1505 S Don Roser Dr
Suite a
Las Cruces, NM 88011-4596
Phone (575) 640-9731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
415NMMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1093813826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 S DON ROSER DR STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114596",
            "telephone_number": "575-680-0682",
            "fax_number": "575-222-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 S DON ROSER DR STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114596",
            "telephone_number": "575-680-0682",
            "fax_number": "575-222-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "MARTIN",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NM",
            "license": "415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.