Shalan Costa

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

CAMF0220641 Issued in NM

Practice address

619 N Alameda Blvd
Las Cruces, NM 88005-2130

Phone

(575) 405-7146

NPI assigned

Oct 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tend LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Cruces, NM
  • NPI 1740168160
  NPD Authorized official

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1225791155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 TIERRA GIJON PL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382224",
            "telephone_number": "910-703-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 N ALAMEDA BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052130",
            "telephone_number": "575-405-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "SHALAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CAMF0220641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scosta@alamedamft.org",
            "affiliation": "N",
            "address_1": "619 N Alameda Blvd",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880052130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Claire Cortner
• Russell David Coryell, CNP-FNP
• Eladia Cosby, N.P.
• Leslie A Costa-Guerra, MA., CCC-SLP
• Joelle M Costa
• Andrew Jason Costin
• Jenevieve Cotter
• Brittanie Cotton-Cosper
• Cottonwood Nephrology and Hypertension Center LLC
• Dajon Council

• Marriage & Family Therapist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Marriage & Family Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.