Individual provider Active NPI

Christine June Kaiser, LADAC, LMHC

  • Professional Counselor
  • Silver City, NM
National Provider Identifier
1205966652
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0152391 Issued in NM
Practice address
118 W 13TH St
Silver City, NM 88061-5139
Phone
(575) 388-1447
Fax
(575) 388-1447
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0128881 NM
Professional Counselor 101YP2500X 0152391 NM Primary

Addresses

Primary practice location

118 W 13TH St
Silver City, NM 88061-5139

Mailing address

425 E Skyview Dr
Silver City, NM 88061-3437
Phone (575) 313-5278

Other identifiers 1

IdentifierTypeStateIssuer
18677037MedicaidNM

Other names 1

  • Trina June Kaiser Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0128881NMMDAddiction (Substance Use Disorder) Counselor
0152391NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trina Kaiser LLC CurrentSince Jan 12, 2020 Accepting new patients
Recovery Management Center, PC Addiction (Substance Use Disorder) Past Accepting new patients
The Recovery Management Center Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 3

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1205966652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E SKYVIEW DR",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880613437",
            "telephone_number": "575-313-5278",
            "fax_number": "866-536-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W 13TH ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615139",
            "telephone_number": "575-388-1447",
            "fax_number": "575-388-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "CHRISTINE",
        "middle_name": "JUNE",
        "credential": "LADAC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0128881",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0152391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18677037",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRINA",
            "last_name": "KAISER",
            "middle_name": "JUNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Silver City, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.