Active NPI
Diane Ferrales, LMFT
- Marriage & Family Therapist
- Las Cruces, NM
National Provider Identifier
1104835008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- CMF0138391
- Practice address
- 1990 E Lohman Ave Ste 212
Las Cruces, NM 88001-3172 - Phone
- (575) 642-7390
- Fax
- (575) 377-8374
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | CMF0138391 | NM | Primary |
Addresses
Primary practice location
1990 E Lohman Ave Ste 212
Las Cruces, NM 88001-3172
Mailing address
1028 Lowell Rd
Las Cruces, NM 88001-2544
Phone (575) 642-7390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14857375 | Medicaid | NM |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240124002958 | NM | Practitioner - Marriage and Family Therapist | 7618320862 | Practice locations: Las Cruces, NM |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1990 E Lohman Ave
Suite 212
Las Cruces, NM 88001-3172
Phone (575) 642-7390
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CMF0138391 | NM | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1104835008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 LOWELL RD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880012544",
"telephone_number": "575-642-7390",
"fax_number": "575-377-8374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 E LOHMAN AVE STE 212",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880013172",
"telephone_number": "575-642-7390",
"fax_number": "575-377-8374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRALES",
"first_name": "DIANE",
"name_prefix": "Miss",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NM",
"license": "CMF0138391",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14857375",
"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 Jul 19, 2022; 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.