Active NPI
Boris A. Valdevit, L.P.C.C.
- Mental Health Counselor
- Las Cruces, NM
National Provider Identifier
1376829317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0794
- Practice address
- 2402 South Locust Street
Suite 5
Las Cruces, NM 88001 - Phone
- (575) 521-4188
- NPI assigned
- Oct 21, 2011
- Sex
- Male
- 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 | 0794 | NM | Primary |
Addresses
Primary practice location
2402 South Locust Street
Suite 5
Las Cruces, NM 88001
Mailing address
959 Lujan Hill Rd
Las Cruces, NM 88007-6302
Phone (575) 635-0390
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 |
|---|---|---|---|
| 0794 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1376829317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "959 LUJAN HILL RD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880076302",
"telephone_number": "575-635-0390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2402 SOUTH LOCUST STREET",
"address_2": "SUITE 5",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88001",
"telephone_number": "575-521-4188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEVIT",
"first_name": "BORIS",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "L.P.C.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-21",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.