Carmen Ulibarri, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CCMH0216761 Issued in NM

Practice address

2313 Hot Springs Blvd
Las Vegas, NM 87701-3734

Phone

(505) 425-2913

Fax

(505) 425-2913

NPI assigned

Feb 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• El Centro Family Health

  • Federally Qualified Health Center (FQHC)
  • Espanola, NM
  • NPI 1780689034

  NM

  Medicare reassignment NPD
• Carmen Ulibarri, LPCC

  • Professional Counselor
  • Las Vegas, NM
  • NPI 1437728490
  NPD Authorized official
• El Centro Family Health

  • Federally Qualified Health Center (FQHC)
  • Taos, NM
  • NPI 1932407681
  NPD
• El Centro Family Health

  • Federally Qualified Health Center (FQHC)
  • Wagon Mound, NM
  • NPI 1538324223
  NPD (past)

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1346707601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 HOT SPRINGS BLVD",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877013734",
            "telephone_number": "505-425-2913",
            "fax_number": "505-425-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 HOT SPRINGS BLVD",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877013734",
            "telephone_number": "505-425-2913",
            "fax_number": "505-425-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULIBARRI",
        "first_name": "CARMEN",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CMH0197521",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH0216761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGULATION AND LICENSING DEPARTMENT",
            "identifier": "CMH0197521",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGULATION AND LICENSING DEPARTMENT",
            "identifier": "CCMH0216761",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Daniel Trujillo
• Phyllis Trujillo, LBSW
• Raquel Trujillo
• Jessica Turner
• Turquoise, LTD
• Michelle Ulibarri, PSY
• Rachelle A. Urban, RESPITE
• Urioste Therapy
• Letticia Olivia Urioste, P-LMSW
• Samantha M Urioste, LCSW

• Mental Health Counselor in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.