Individual provider Active NPI

Martha Ann Rimmel, M.A., LPCC

  • Mental Health Counselor
  • Truth Or Consequences, NM
National Provider Identifier
1457584294
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0164101 Issued in NM
Practice address
318 N Broadway St
Truth Or Consequences, NM 87901-2834
Phone
(575) 418-9171
NPI assigned
Aug 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0191091 NM
Mental Health Counselor 101YM0800X 0164101 NM Primary

Addresses

Primary practice location

318 N Broadway St
Truth Or Consequences, NM 87901-2834

Mailing address

808 Ivy St
Truth Or Consequences, NM 87901-1638
Phone (575) 418-9171

Other practice location 1

1960 N Date St
Truth OR Consequences, NM 87901-3701
Phone (575) 894-7662

Other identifiers 1

IdentifierTypeStateIssuer
62476548MedicaidNM

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0164101NMMDMental Health Counselor
0191091NMMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1457584294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 IVY ST",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879011638",
            "telephone_number": "575-418-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 N BROADWAY ST",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879012834",
            "telephone_number": "575-418-9171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1960 N Date St",
            "address_purpose": "LOCATION",
            "city": "Truth OR Consequences",
            "state": "NM",
            "postal_code": "879013701",
            "country_code": "US",
            "telephone_number": "575-894-7662",
            "fax_number": "575-894-7930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIMMEL",
        "first_name": "MARTHA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.A., LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0191091",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0164101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62476548",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Truth Or Consequences, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.