Mariel Rascon, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP6422 Issued in NM

Practice address

38 Gaviota
Truth Or Consequences, NM 87901

Phone

(915) 219-1776

NPI assigned

Oct 4, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Sierra Vista Hospital

  • Rural Health Clinic/Center
  • Truth Or Consequences, NM
  • NPI 1689638942
  NPD (past)
• Sierra Vista Hospital

  • Critical Access Hospital
  • Truth Or Consequences, NM
  • NPI 1760446009
  NPD (past)

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1497007280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3522",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879017522",
            "telephone_number": "915-219-1776",
            "fax_number": "817-789-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 GAVIOTA",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "87901",
            "telephone_number": "915-219-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASCON",
        "first_name": "MARIEL",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2023-07-06",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "SLP6422",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "37123",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207164901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149984001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Rae Phillips, LCSW
• Kacey D Polanco, MPT
• Joseph Anthony Prieto
• Jamie Quarrell
• Kam Ralston, MSN, APRN, FNP-C
• Lindsey Irene Renfro, LMSW
• Martha Ann Rimmel, M.A., LPCC
• Aaron Royster
• RP Health
• Estela Gregoria Rubin, CNP

• Speech-Language Pathologist in Truth Or Consequences, NM
• Providers in Truth Or Consequences, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.