Alicia Cancino

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CTB-2025-0960 Issued in NM

Practice address

313 W Apache St
Farmington, NM 87401-5835

Phone

(505) 325-5321

NPI assigned

Jan 2, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Choices Behavioral Health Services, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Farmington, NM
  • NPI 1134194483
  NPD (past)

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

{
    "created_epoch": "1767312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1467318501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 W APACHE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015835",
            "telephone_number": "505-325-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W APACHE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015835",
            "telephone_number": "505-325-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCINO",
        "first_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-02",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2025-0960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Bruce Campbell
• Brad J Campbell, D.O.
• Karen Kathleen Campbell, LSAA
• Katrina Campbell
• Erika M Campos, C-FNP
• Bobby G Candelaria, LADAC
• Dominic Michael Cannella, M.D.
• Catherine Lee Cantway, M.D.
• Tanasha Canuto
• Linda Jo Canyon, OTR/L

• Mental Health Counselor in Farmington, NM
• Providers in Farmington, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.