Theresa Ortiz, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

M-08152 Issued in NM

Practice address

1043 Highway 313
Bernalillo, NM 87004-6912

Phone

(505) 867-3351

Fax

(505) 867-3514

NPI assigned

May 6, 2014

Last updated

May 6, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pueblo of IsletaGroup PAC ID 9739080631, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pueblo of Isleta

  dba Isleta Health Center

  • Clinic/Center
  • Isleta, NM
  • NPI 1194738328
  Medicare reassignment Care Compare group NPD
• Pueblo of Isleta

  dba Pueblo of Isleta Dental Clinic

  • Public Health Dentistry
  • Isleta, NM
  • NPI 1225158348
  NPD
• Five Sandoval Indian Pueblos, Inc.

  • Community/Behavioral Health Agency
  • Bernalillo, NM
  • NPI 1689896284
  NPD (past)
• Pueblo of Isleta

  dba Pueblof of Isleta EMS

  • Ambulance
  • Isleta, NM
  • NPI 1023191368
  NPD (past)

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1104236694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10619 VIRGO ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871143661",
            "telephone_number": "505-366-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 HIGHWAY 313",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870046912",
            "telephone_number": "505-867-3351",
            "fax_number": "505-867-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "THERESA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "M-08152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catalina Nunez, LMSW
• Vera Oaxaca, RPH
• Robert Ochoa Jr., PH.D.
• Michael Ollom, LISW
• Felina Mychelle Ortiz, CNM
• Toby Ortiz
• Barbara Overman
• Linnie Sanchez Padilla, LBSW
• Paradigm Physical Therapy and Wellness Inc
• PB&J Family Services, Inc.

• Mental Health Counselor in Bernalillo, NM
• Providers in Bernalillo, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.

Verify at the official NPI Registry.