Individual provider Active NPI

Holly S Paz

  • Marriage & Family Therapist
  • Las Cruces, NM
National Provider Identifier
1144845801
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
2075 Austin Dr
Las Cruces, NM 88001-5132
Phone
(575) 323-0604
NPI assigned
Jun 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

2075 Austin Dr
Las Cruces, NM 88001-5132

Mailing address

2075 Austin Dr
Las Cruces, NM 88001-5132
Phone (575) 323-0604

Other practice location 1

755 S Telshor Blvd Ste Q101
Las Cruces, NM 88011-4681
Phone (575) 323-0604

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241212004330 NM Practitioner - Marriage and Family Therapist 0446786461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
HSP Marriage Family Therapy LLC Marriage & Family Therapist CurrentSince Dec 2, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1144845801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 AUSTIN DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015132",
            "telephone_number": "575-323-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 AUSTIN DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015132",
            "telephone_number": "575-323-0604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 S Telshor Blvd Ste Q101",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880114681",
            "country_code": "US",
            "telephone_number": "575-323-0604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAZ",
        "first_name": "HOLLY",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.