Kerry J Niec, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0160451 Issued in NM

Practice address

2707 Hot Springs Blvd
Las Vegas, NM 87701-4093

Phone

(505) 426-7847

NPI assigned

Dec 18, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Kerry Niec Ma LPCC

  • Community/Behavioral Health Agency
  • Las Vegas, NM
  • NPI 1427617612
  NPD Authorized official

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1104247006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "address_2": "EL CENTRO FAMILY HEALTH, 538 N. PASEO DE ONATE",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875320158",
            "telephone_number": "505-753-7218",
            "fax_number": "505-753-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 HOT SPRINGS BLVD",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014093",
            "telephone_number": "505-426-7847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1311 Pecos St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NM",
            "postal_code": "877019727",
            "country_code": "US",
            "telephone_number": "505-426-7847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1235 8th St",
            "address_2": "ECFH Las Vegas Clinic",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NM",
            "postal_code": "877014219",
            "country_code": "US",
            "telephone_number": "505-425-6788",
            "fax_number": "505-425-5408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEC",
        "first_name": "KERRY",
        "middle_name": "J",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "0196451",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH0196451",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0160451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Mexico Door 2 Door Transfers, LLC
• New Mexico Highlands University
• New Mexico Non-Emergency Medical Transport Incorporated
• New Mexico Quickcare Medical Group
• New Mexico Truecare Family Practice LLC
• NM BNPT Investment LLC
• Rudy Nolasco Jr.
• Northeast Regional Education Cooperative
• Northeast Regional Education Cooperative
• Nueva Vida Counseling and Consulting Services LLC

• Mental Health Counselor in Las Vegas, NM
• Providers in Las Vegas, 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 Aug 27, 2021; 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.