Active NPI
Kamerin Stclaire, MA
- Mental Health Counselor
- Ruidoso, NM
National Provider Identifier
1427279959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPCC #2714
- Practice address
- 159 Mescalero Trail Unit 8
Ruidoso, NM 88345 - Phone
- (505) 336-8005
- Fax
- (505) 257-6655
- NPI assigned
- May 1, 2007
- Last updated
- Feb 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPCC #2714 | NM | Primary |
| Marriage & Family Therapist | 106H00000X | LMFT #2721RET | NM |
Addresses
Primary practice location
159 Mescalero Trail Unit 8
Ruidoso, NM 88345
Mailing address
2814 Sudderth #146
Ruidoso, NM 88345
Phone (505) 336-8005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88434231 | Medicaid | NM |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC #2714 | NM | MD | Mental Health Counselor |
| LMFT #2721RET | NM | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298851200000",
"number": "1427279959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2814 SUDDERTH #146",
"city": "RUIDOSO",
"state": "NM",
"postal_code": "88345",
"telephone_number": "505-336-8005",
"fax_number": "505-257-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 MESCALERO TRAIL UNIT 8",
"city": "RUIDOSO",
"state": "NM",
"postal_code": "88345",
"telephone_number": "505-336-8005",
"fax_number": "505-257-6655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STCLAIRE",
"first_name": "KAMERIN",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2011-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "LPCC #2714",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NM",
"license": "LMFT #2721RET",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "88434231",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ruidoso, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.