Caitlin Mercure, LICENSED MENTAL HEAL
Individual provider Active NPI Professional Counselor · Tierra Amarilla, NM
NPI 1376168583 · NPPES record last updated Feb 27, 2025
Key facts
- NPI
- 1376168583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- CTB-2025-0048 (NM)
- Practice address
- Highway 84
County Road 0324 #14
Tierra Amarilla, NM 87575 - Phone
- (575) 588-7252
- Fax
- (575) 588-9132
- NPI assigned
- Jun 12, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|---|
| I20250506003408 | NM | Practitioner - Mental Health Counselor | 0648797357 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Clinica del Pueblo de Rio Arriba | Current | Accepting new patients | |
| La Clinica del Pueblo de Rio Arriba | Current |
Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HFHCBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Professional Counselor | 101YP2500X | CTB-2025-0048 | NM | Yes |
Addresses
Primary practice location
Highway 84
County Road 0324 #14
Tierra Amarilla, NM 87575
Mailing address
PO Box 250
Tierra Amarilla, NM 87575
Phone (575) 588-7252
Other providers in Tierra Amarilla, NM
- La Clinica del Pueblo de Rio Arriab
- La Clinica del Pueblo de Rio Arriba
- La Clinica del Pueblo de Rio Arriba
- La Clinica del Pueblo de Rio Arriba
- Joyce Martinez Sanchez
- Philip Onyirimba
- Carole L Owens
- Tiffany Shaniah Sanchez
- Sharlene Nicole Sandoval
- Glenn George Thomason
All providers in Tierra Amarilla, NM · Professional Counselor 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 Feb 27, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.