Active NPI
Rio Pecos Counseling and Health Services, LLC
- Family Nurse Practitioner
- Carlsbad, NM
National Provider Identifier
1619152238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0076041 | NM | |
| Family Nurse Practitioner | 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 DirectoryLocations
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.
-
- Nurse Practitioner
- Carlsbad, NM
- NPI 1225048556
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.