Virginia Longoria, PHD
Individual provider Active NPI Counseling Psychologist · Mesilla, NM
NPI 1285099556 · NPPES record last updated Jul 17, 2023
Key facts
- NPI
- 1285099556
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counseling Psychologist 103TC1900X
- License
- 1492 (NM)
- Practice address
- 2488 Calle de Guadalupe
Mesilla, NM 88046-0594 - Phone
- (575) 249-5029
- Fax
- (575) 249-3515
- NPI assigned
- Dec 30, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Arbol de la Vida Psychological Services, LLC
Practice addresses (Care Compare)
2488 Calle de Guadalupe
Mesilla, NM 88046-0594
Phone (915) 494-0671
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181217003028 | NM | Practitioner - Clinical Psychologist | 0840535092 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1492 | NM | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ben Archer Health Center | Current |
Accepting new patients | |
| Ben Archer Health Center | Current |
Accepting new patients | |
| Ben Archer Health Center | Current | Accepting new patients | |
| Arbol de la Vida Psychological Services, LLC | Current |
Accepting new patients |
Locations
1955 N Valley Dr
Las Cruces, NM 88007
Phone (575) 267-3280
1960 N Date St
Truth Or Consequences, NM 87901
Phone (575) 894-7662
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 1492 | NM | Yes |
Addresses
Primary practice location
2488 Calle de Guadalupe
Mesilla, NM 88046-0594
Mailing address
PO Box 370
Hatch, NM 87937-0370
Phone (575) 267-3280
Other providers in Mesilla, NM
- Arbol de la Vida Psychological Services, LLC
- Amanda Buras
- La Clinica de Familia, Incorporated
- Richard Lucero
- Terry Lucero
- Nathaniel Michael May
- New Neural Pathways
- Lisa C. Pena
All providers in Mesilla, NM · Counseling Psychologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.