Hoyden Diane Callaway, LPCC
Individual provider Active NPI Professional Counselor · Las Cruces, NM
NPI 1598079915 · NPPES record last updated Aug 24, 2018
Key facts
- NPI
- 1598079915
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0185451 (NM)
- Practice address
- 100 W Griggs Ave
Las Cruces, NM 88001 - Phone
- (575) 647-2800
- Fax
- (575) 647-2898
- NPI assigned
- Jul 27, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
385 Calle de Alegra
Suite a
Las Cruces, NM 88005-3417
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- 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 |
|---|---|---|---|---|
| I20240425002316 | NM | Practitioner - Mental Health Counselor | 4183950116 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0136061 | NM | MD | Mental Health Counselor |
| 136061 | NM | MD | Mental Health Counselor |
| 0185451 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Safe Haven | Current | Accepting new patients | |
| La Clinica de Familia, Incorporated | Current |
Accepting new patients | |
| La Clinica de Familia, Incorporated | Current |
Accepting new patients | |
| La Clinica de Familia, Incorporated | Current | Accepting new patients |
Locations
826 Anthony Dr
Anthony, NM 88021
Phone (575) 201-5135
385 Calle de Alegra
Bldg A
Las Cruces, NM 88005
Phone 57552611052444
100 W Griggs Ave
Las Cruces, NM 88001
Phone (505) 647-2800
760 N Motel Blvd
Ste Ac
Las Cruces, NM 88007
535 S Miranda St
Las Cruces, NM 88005
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 136061 | NM | |
| Mental Health Counselor | 101YM0800X | 0136061 | NM | |
| Professional Counselor | 101YP2500X | 0185451 | NM | Yes |
Addresses
Primary practice location
100 W Griggs Ave
Las Cruces, NM 88001
Mailing address
385 Calle de Alegra
Ste a
Las Cruces, NM 88005
Phone (575) 526-1105
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11659378 | Medicaid | NM |
Other providers in Las Cruces, NM
- Alan Calhoun
- Calibre Post Acute LLC
- Jason Andrew Call
- Edward Callahan
- Raven Callaway-Kidd
- Riba Calloway
- Calmar Inc.
- Natalie Calvario
- Calvary Counseling Service
- Ariana Ada Marie Calvin
All providers in Las Cruces, NM · Professional 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 Aug 24, 2018. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.