Collette Ceballes, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

COLLETTE CEBALLES, LLC

Practice address

619 N Alameda Blvd
Las Cruces, NM 88005-2130

Phone

(575) 430-9405

NPI assigned

May 21, 2024

Last updated

May 21, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Collette CeballesNPI 1760120521

Title

Marriage and Family Therapist

Phone

(575) 430-9405

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Collette Ceballes, MS

  • Marriage & Family Therapist
  • Las Cruces, NM
  • NPI 1760120521
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1437998358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 N ALAMEDA BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 N ALAMEDA BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052130",
            "telephone_number": "575-430-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLETTE CEBALLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "CEBALLES",
        "authorized_official_first_name": "COLLETTE",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "575-430-9405"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert P Colburn, PA-C
• Christopher Colgan
• Colibri Integrative Therapy LLC
• Kimberly Ann Collard, OTR/L
• Collective Healing Studio, LLC
• Caleb Collette, DO STUDENT
• Autumn Collins
• Charles David Collins, M.D.
• Danielle Collins
• Edward Michael Collins, APN

• Marriage & Family Therapist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Marriage & Family Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.