Active NPI
Caitlin Bain, LMHC
- Mental Health Counselor
- Rio Rancho, NM
National Provider Identifier
1306524277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CTB-2023-0446
- Practice address
- 4733 Jessica Dr NE
Rio Rancho, NM 87144-0853 - Phone
- (505) 730-9949
- NPI assigned
- Jul 10, 2023
- Last updated
- Jul 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CTB-2023-0446 | NM | Primary |
Addresses
Primary practice location
4733 Jessica Dr NE
Rio Rancho, NM 87144-0853
Mailing address
2172 33Rd St Apt B
Los Alamos, NM 87544-2463
Other practice location 1
190 Central Park Sq Ste 107
Los Alamos, NM 87544-4002
Phone (505) 500-4059
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
| License | State | Type | Specialty |
|---|---|---|---|
| CTB-2023-0446 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1306524277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2172 33RD ST APT B",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875442463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4733 JESSICA DR NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871440853",
"telephone_number": "505-730-9949"
}
],
"practiceLocations": [
{
"address_1": "190 Central Park Sq Ste 107",
"address_purpose": "LOCATION",
"city": "Los Alamos",
"state": "NM",
"postal_code": "875444002",
"country_code": "US",
"telephone_number": "505-500-4059",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAIN",
"first_name": "CAITLIN",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-10",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "CTB-2023-0446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.