Mary Christie, L.P.C.C.
Individual provider Active NPI Mental Health Counselor · Corrales, NM
NPI 1568601367 · NPPES record last updated Feb 18, 2009
Key facts
- NPI
- 1568601367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 2291 (NM)
- Practice address
- 1135 W Meadowlark LN
Corrales, NM 87048-9689 - Phone
- (505) 573-0392
- NPI assigned
- Feb 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250723002787 | CA | Practitioner - Mental Health Counselor | 5395256796 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2291 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evening Star Counseling | Mental Health | Current |
Accepting new patients |
Locations
665 Camino de los Mares
Ste 203A
San Clemente, CA 92673
Phone (949) 363-3456
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2291 | NM | Yes |
Addresses
Primary practice location
1135 W Meadowlark LN
Corrales, NM 87048-9689
Mailing address
1135 W Meadowlark LN
Corrales, NM 87048-9689
Phone (505) 573-0392
Other names
- Mary Christie Murtagh
Other providers in Corrales, NM
- Bethany Jordan Castillo
- Patricia V Cervantes
- Changing Life'S Direction, LLC
- Megan Claire Chavez
- Chirolittle Inc
- Lisa Clugston
- Ramiyah Cockrum
- Complete Care Pharmacy LLC
- Control Over Anxiety, LLC
- Angelique S Cook Lowry
All providers in Corrales, NM · Mental Health Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.