Individual provider Active NPI

Jessica Barraza, LPCC

  • Mental Health Counselor
  • Las Cruces, NM
National Provider Identifier
1093893935
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC - 0074491 Issued in NM
Practice address
1737 Foster Rd
Las Cruces, NM 88001-4319
Phone
(505) 571-2212
NPI assigned
Nov 1, 2006
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC - 0074491 NM Primary

Addresses

Primary practice location

1737 Foster Rd
Las Cruces, NM 88001-4319

Mailing address

1737 Foster Rd
Las Cruces, NM 88001-4319
Phone (505) 571-2212

Other practice location 1

2435 S Telshor Blvd
Las Cruces, NM 88011-5029
Phone (575) 323-1315

Other identifiers 3

IdentifierTypeStateIssuer
00JM78OtherMNBLUE CROSS SHIELD OF NEW
541355OtherNMVALUE OPTIONS
27623289MedicaidNM

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
LPCC - 0074491NMMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1093893935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 FOSTER RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880014319",
            "telephone_number": "505-571-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 FOSTER RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880014319",
            "telephone_number": "505-571-2212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2435 S Telshor Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880115029",
            "country_code": "US",
            "telephone_number": "575-323-1315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRAZA",
        "first_name": "JESSICA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "LPCC - 0074491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SHIELD OF NEW",
            "identifier": "00JM78",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "541355",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27623289",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.