Individual provider Active NPI

Teresa Cunningham

  • Addiction (Substance Use Disorder) Counselor
  • Carlsbad, NM
National Provider Identifier
1306129135
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0179101 Issued in NM
Practice address
800 W Pierce St
Carlsbad, NM 88220-5218
Phone
(575) 234-3335
Fax
(575) 885-5331
NPI assigned
Sep 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0179101 NM Primary
Mental Health Counselor 101YM0800X T-0177911 NM

Addresses

Primary practice location

800 W Pierce St
Carlsbad, NM 88220-5218

Mailing address

800 W Pierce St
Carlsbad, NM 88220-5218
Phone (575) 234-3335

Other names 1

  • Teresa Setser 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

State licenses

LicenseStateTypeSpecialty
0179101NMMDAddiction (Substance Use Disorder) Counselor
T-0177911NMMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1306129135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W PIERCE ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205218",
            "telephone_number": "575-234-3335",
            "fax_number": "575-885-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W PIERCE ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205218",
            "telephone_number": "575-234-3335",
            "fax_number": "575-885-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0179101",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-0177911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "SETSER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.