Individual provider Active NPI

Karla Rivera

  • Mental Health Counselor
  • Las Cruces, NM
National Provider Identifier
1245965748
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2701 W Picacho Ave Ste 4
Las Cruces, NM 88007-4732
Phone
(575) 652-3646
Fax
(575) 255-1625
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2701 W Picacho Ave Ste 4
Las Cruces, NM 88007-4732

Mailing address

2701 W Picacho Ave Ste 4
Las Cruces, NM 88007-4732
Phone (575) 652-3646

Other names 1

  • Regan Karla Ryan Former 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

Practice roles

OrganizationSpecialtyStatusNew patients
Weeks Healthcare Industry LLC CurrentSince Jul 24, 2022 Accepting new patients
Traa Group LLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

2701 W Picacho Ave
Ste 4
Las Cruces, NM 88007
Phone (575) 652-3646

Organizations & group practices 2

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": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1245965748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W PICACHO AVE STE 4",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880074732",
            "telephone_number": "575-652-3646",
            "fax_number": "575-255-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W PICACHO AVE STE 4",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880074732",
            "telephone_number": "575-652-3646",
            "fax_number": "575-255-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "KARLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGAN",
            "last_name": "RYAN",
            "middle_name": "KARLA",
            "credential": "INTERN (LMHC)",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.