Individual provider Active NPI

Mariela Hiscox, LPCC LADAC

  • Addiction (Substance Use Disorder) Counselor
  • Albuquerque, NM
National Provider Identifier
1376603373
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
3769 Issued in NM
Practice address
4135 Montgomery Blvd NE
Ste C
Albuquerque, NM 87109
Phone
(505) 262-9393
Fax
(505) 262-9393
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 3769 NM Primary
Mental Health Counselor 101YM0800X 2518 NM

Addresses

Primary practice location

4135 Montgomery Blvd NE
Ste C
Albuquerque, NM 87109

Mailing address

PO Box 51957
Albuquerque, NM 87181-1957
Phone (505) 262-9393

Other identifiers 4

IdentifierTypeStateIssuer
Z3615MedicaidNM
20104772OtherNMPRESBYTERIAN
NM101090OtherNMVALUE OPTIONS
1064501OtherNMCIGNA

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
2518NMMDMental Health Counselor
3769NMMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1376603373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51957",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871811957",
            "telephone_number": "505-262-9393",
            "fax_number": "505-262-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 MONTGOMERY BLVD NE",
            "address_2": "STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-262-9393",
            "fax_number": "505-262-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISCOX",
        "first_name": "MARIELA",
        "name_prefix": "Ms.",
        "credential": "LPCC LADAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "3769",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "2518",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z3615",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN",
            "identifier": "20104772",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "NM101090",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1064501",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.