Individual provider Active NPI

Joe Terrazas, LPCC

  • Professional Counselor
  • Las Cruces, NM
National Provider Identifier
1407074438
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0138771 Issued in NM
Practice address
525 E Lohman Ave Ste B
Las Cruces, NM 88001-3394
Phone
(575) 202-1719
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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 0138771 NM Primary

Addresses

Primary practice location

525 E Lohman Ave Ste B
Las Cruces, NM 88001-3394

Mailing address

1300G El Paseo Rd Ste 115
Las Cruces, NM 88001-6024
Phone (575) 202-1719

Other identifiers 1

IdentifierTypeStateIssuer
54655331MedicaidNM

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
I20231204001101 NM Practitioner - Mental Health Counselor 4284082165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

525 E Lohman Ave
Suite B
Las Cruces, NM 88001-3394
Phone (575) 202-1719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0138771NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Terrazas Mental Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

525 E Lohman Ave
Ste B
Las Cruces, NM 88001
Phone (575) 202-1719

1300 El Paseo Rd
Ste 115
Las Cruces, NM 88001

Organizations & group practices 1

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1407074438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300G EL PASEO RD STE 115",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880016024",
            "telephone_number": "575-202-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E LOHMAN AVE STE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013394",
            "telephone_number": "575-202-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRAZAS",
        "first_name": "JOE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0138771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54655331",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.