Andrea Villalobos, MA, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CCMH0219141 Issued in NM

Practice address

785 Anthony Drive
Anthony, NM 88021-8802

Phone

(575) 882-5100

Fax

(575) 882-1151

NPI assigned

Dec 29, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colibri Integrative Therapy LLCGroup PAC ID 8921453184, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Colibri Integrative Therapy LLC

  • Clinical Social Worker
  • Las Cruces, NM
  • NPI 1992589584
  Medicare reassignment Care Compare group NPD
• Amanecer Community Counseling Center

  • Community/Behavioral Health Agency
  • Santa Teresa, NM
  • NPI 1033663984
  NPD (past)
• Amanecer Community Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Anthony, NM
  • NPI 1669928982
  NPD (past)

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1144685538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2671",
            "city": "ANTHONY",
            "state": "NM",
            "postal_code": "880212671",
            "telephone_number": "575-882-5100",
            "fax_number": "575-882-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 ANTHONY DRIVE",
            "city": "ANTHONY",
            "state": "NM",
            "postal_code": "880218802",
            "telephone_number": "575-882-5100",
            "fax_number": "575-882-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALOBOS",
        "first_name": "ANDREA",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH0219141",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTL0197211",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33928037",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35650338",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Valois
• Ashlie Danielle Vasquez
• Jaclyn Vasquez
• Jose Roberto Velasquez, CASE MANAGER
• Denise M. Vialpando, AAS
• Diana E Villalobos
• Nallely Viramontes, LCSW
• Carolina Yanez
• Jose Yanez, MA
• Kimberly Denise York, MSSA, MNO, LISW

• Mental Health Counselor in Anthony, NM
• Providers in Anthony, 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 17, 2021; 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.