Cristal Aguayo, INTERN
Individual provider Active NPI Counselor · Las Cruces, NM
NPI 1245085810 · NPPES record last updated Apr 28, 2026
Key facts
- NPI
- 1245085810
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- CTB20260312 (NM)
- Practice address
- 3100 Oak St
Las Cruces, NM 88005-3769 - Phone
- (575) 523-2288
- NPI assigned
- Apr 18, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CTB20260312 | NM | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CTB20260312 | NM | Yes |
Addresses
Primary practice location
3100 Oak St
Las Cruces, NM 88005-3769
Mailing address
3100 Oak St
Las Cruces, NM 88005-3769
Phone (575) 523-2288
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.