Individual provider Active NPI

Amy Lyn Molina, ED.S, LPCC

  • Professional Counselor
  • Las Cruces, NM
National Provider Identifier
1477626299
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0116921 Issued in NM
Practice address
1625 Spruce Ave SPC 98
Las Cruces, NM 88001-2471
Phone
(575) 644-9209
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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 0116921 NM
Professional Counselor 101YP2500X CCMH0116921 NM Primary

Addresses

Primary practice location

1625 Spruce Ave SPC 98
Las Cruces, NM 88001-2471

Mailing address

PO Box 1993
Las Cruces, NM 88004-1993
Phone (575) 644-9209

Other practice location 1

PO Box 1993
Las Cruces, NM 88004-1993
Phone (575) 644-9209

Other identifiers 1

IdentifierTypeStateIssuer
68889020MedicaidNM

Other names 1

  • Amy Lyn Trevino Former name

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

State licenses

LicenseStateTypeSpecialty
0116921NMMDProfessional Counselor
CCMH0116921NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Platicas Counseling Y Educational Consulting LLC CurrentSince Mar 20, 2025 Accepting new patients

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1477626299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1993",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880041993",
            "telephone_number": "575-644-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SPRUCE AVE SPC 98",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880012471",
            "telephone_number": "575-644-9209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 1993",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880041993",
            "country_code": "US",
            "telephone_number": "575-644-9209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "AMY",
        "middle_name": "LYN",
        "credential": "ED.S, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0116921",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0116921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68889020",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "TREVINO",
            "middle_name": "LYN",
            "credential": "ED.S, LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.