Organization Active NPI

Rio Pecos Counseling and Health Services, LLC

  • Family Nurse Practitioner
  • Carlsbad, NM
National Provider Identifier
1619152238
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R57579
Legal business name
RIO PECOS COUNSELING AND HEALTH SERVICES, LLC
Practice address
608 N Canyon St
Carlsbad, NM 88220-5816
Phone
(575) 234-1644
Fax
(575) 887-2685
NPI assigned
Jan 2, 2008
Last updated
Nov 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
Ms. Judy K Carter, LPCC
Title
Manager
Phone
(575) 234-1644

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 0076041 NM
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X R57579 Primary

Addresses

Primary practice location

608 N Canyon St
Carlsbad, NM 88220-5816

Mailing address

608 N Canyon St
Carlsbad, NM 88220-5816
Phone (575) 234-1644

National Provider Directory

National Provider Directory

Locations

608 N Canyon St
Carlsbad, NM 88220
Phone (505) 887-5169

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1619152238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 N CANYON ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205816",
            "telephone_number": "575-234-1644",
            "fax_number": "575-887-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 N CANYON ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205816",
            "telephone_number": "575-234-1644",
            "fax_number": "575-887-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO PECOS COUNSELING AND HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "575-234-1644",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0076041",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": "R57579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.