NPIMap

Organization Active NPI

Counseling Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alamogordo, NM
National Provider Identifier
1225043904
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
3040B1 Issued in NM
Legal business name
COUNSELING CENTER, INC.
Practice address
1900 10TH St
Alamogordo, NM 88310-5053
Phone
(575) 488-2500
Fax
(575) 488-2502
NPI assigned
Jul 30, 2006
Last updated
Jul 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Authorized official

Name
Mr. Loren E Jackson
Title
Credentialing Coordinator
Phone
(575) 488-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 3040B1 NM Primary

Addresses

Primary practice location

1900 10TH St
Alamogordo, NM 88310-5053

Mailing address

1900 10TH St
Alamogordo, NM 88310-5053
Phone (575) 488-2500

Other identifiers 1

IdentifierTypeStateIssuer
67782868MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040331001141 NM Part B Supplier - Clinic/Group Practice 6507858461 Receives reassigned benefits from 7 practitioners
Practice locations: Alamogordo, NM

National Provider Directory

National Provider Directory

Locations

1900 10th St
Alamogordo, NM 88310
Phone (575) 437-7404

206 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-5038

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1225043904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 10TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105053",
            "telephone_number": "575-488-2500",
            "fax_number": "575-488-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 10TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105053",
            "telephone_number": "575-488-2500",
            "fax_number": "575-488-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2022-07-07",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "575-488-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NM",
            "license": "3040B1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67782868",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.