Active NPI
Bernadette Pina, LPCC
- Professional Counselor
- Las Cruces, NM
National Provider Identifier
1639108244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2880
- Practice address
- 1955 N Valley Dr
Las Cruces, NM 88007 - Phone
- (575) 541-7323
- Fax
- (575) 527-9415
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 11475 | TX | |
| Professional Counselor | 101YP2500X | 2880 | NM | Primary |
Addresses
Primary practice location
1955 N Valley Dr
Las Cruces, NM 88007
Mailing address
PO Box 370
Hatch, NM 87937-0370
Phone (575) 267-3280
Other practice location 1
100 W. Giggs St.
Las Cruces, NM 88001
Phone (505) 647-2874 ext. 2874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z7282 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11475 | TX | MD | Neurology Chiropractor |
| 2880 | NM | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539302400000",
"number": "1639108244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370",
"city": "HATCH",
"state": "NM",
"postal_code": "879370370",
"telephone_number": "575-267-3280",
"fax_number": "575-267-1747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1955 N VALLEY DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88007",
"telephone_number": "575-541-7323",
"fax_number": "575-527-9415"
}
],
"practiceLocations": [
{
"address_1": "100 W. Giggs St.",
"address_purpose": "LOCATION",
"city": "Las Cruces",
"state": "NM",
"postal_code": "88001",
"country_code": "US",
"telephone_number": "505-647-2874 x2874",
"fax_number": "505-647-2898",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PINA",
"first_name": "BERNADETTE",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2018-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "11475",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "2880",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z7282",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.