Carly Brack Marketto

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

CTB20220194 Issued in NM

Practice address

390 Calle de Alegra Ste C
Las Cruces, NM 88005-3280

Phone

(575) 222-4588

NPI assigned

Mar 30, 2016

Last updated

Jun 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carly Brack Former name

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

Marriage and Family Therapist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amistad Family Services IncGroup PAC ID 4183867609, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Amistad Family Services Inc

  • Community/Behavioral Health Agency
  • Las Cruces, NM
  • NPI 1558654483
  Medicare reassignment Care Compare group NPD (past)

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1104289966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 OAK ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053769",
            "telephone_number": "575-523-2288",
            "fax_number": "575-523-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 CALLE DE ALEGRA STE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053280",
            "telephone_number": "575-222-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACK MARKETTO",
        "first_name": "CARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CTB20220194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "BRACK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Martin Boyd, MD
• Randy Boyer, PA-C
• Catherine Elizabeth Boyle, CRNA
• Jennifer R Boyle
• Jessica Bozzell
• Kandy J Bracken, O.T.
• Beau James Bradberry, OTR
• Shalako Bradberry, MA CCC-SLP
• Braden Partners LP (Pacific Pulmonary Services)
• Paul T Braden

• Marriage & Family Therapist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Marriage & Family Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.