Individual provider Active NPI

Andrea Dresser, LMFT, CST

  • Marriage & Family Therapist
  • Las Cruces, NM
National Provider Identifier
1184948218
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0157951 Issued in NM
Practice address
530 N Church St
Las Cruces, NM 88001-3440
Phone
(575) 526-9878
Fax
(575) 526-7835
NPI assigned
Mar 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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 0157951 NM Primary

Addresses

Primary practice location

530 N Church St
Las Cruces, NM 88001-3440

Mailing address

530 N Church St
Las Cruces, NM 88001-3440
Phone (575) 526-9878

Other identifiers 1

IdentifierTypeStateIssuer
57030707MedicaidNM

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
I20231201001308 NM Practitioner - Marriage and Family Therapist 3375830722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Counseling Las Cruces LLCGroup PAC ID 8820385271, 15 clinicians

Practice addresses (Care Compare)

530 N Church St
Las Cruces, NM 88001-3440
Phone (575) 526-9878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Las Cruces, LLC Marriage & Family Therapist CurrentSince Jan 25, 2011 Accepting new patients

Locations

133 Wyatt Dr
Ste 3
Las Cruces, NM 88005
Phone (575) 448-1350

530 N Church St
Las Cruces, NM 88001
Phone (575) 526-9878

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": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1184948218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N CHURCH ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013440",
            "telephone_number": "575-526-9878",
            "fax_number": "575-526-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N CHURCH ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013440",
            "telephone_number": "575-526-9878",
            "fax_number": "575-526-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRESSER",
        "first_name": "ANDREA",
        "credential": "LMFT, CST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-18",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "0157951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57030707",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.