Individual provider Active NPI

Carolina Ortega, MA, LPCC, NCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1316399074
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0207961 Issued in NM
Practice address
5001 Indian School Rd NE Ste 200
Albuquerque, NM 87110-4082
Phone
(505) 657-4161
Fax
(505) 531-8020
NPI assigned
Jul 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CCMH0207961 NM Primary

Addresses

Primary practice location

5001 Indian School Rd NE Ste 200
Albuquerque, NM 87110-4082

Mailing address

7109 Dona Esmera Ave SW
Albuquerque, NM 87121-3591
Phone (505) 489-0854

Other practice location 1

1660 Old Pecos Trl Ste A
Santa Fe, NM 87505-4779
Phone (505) 548-9023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240830001369 NM Practitioner - Mental Health Counselor 6103365408 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CCMH0207961NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Healthworks LLC Mental Health CurrentSince Jun 26, 2024 Accepting new patients
Mandala Integrated Therapy LLC Past Accepting new patients

Locations

5001 Indian School Rd NE
Ste 200
Albuquerque, NM 87110
Phone (505) 548-9023

1660 Old Pecos Trl
Ste A
Santa Fe, NM 87505
Phone (505) 548-9023

Organizations & group practices 3

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1316399074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 DONA ESMERA AVE SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871213591",
            "telephone_number": "505-489-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 INDIAN SCHOOL RD NE STE 200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104082",
            "telephone_number": "505-657-4161",
            "fax_number": "505-531-8020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 Old Pecos Trl Ste A",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875054779",
            "country_code": "US",
            "telephone_number": "505-548-9023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "CAROLINA",
        "credential": "MA, LPCC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0207961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.