Mary M Cline, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MARY M CLINE, LLC

Doing business as

Mary M Cline

Practice address

33 Vista de Oro
Placitas, NM 87043-9227

Phone

(505) 697-1717

NPI assigned

Apr 15, 2017

Last updated

Jun 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary M Cline, MA, LPCCNPI 1255704185

Title

Owner, Authorized Agent

Phone

(505) 697-1717

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary M Cline Doing business as

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.

• Mary M Cline, MA, LPCC

  • Professional Counselor
  • Placitas, NM
  • NPI 1255704185

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1492214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1649704776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 VISTA DE ORO",
            "city": "PLACITAS",
            "state": "NM",
            "postal_code": "870439227",
            "telephone_number": "505-697-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 VISTA DE ORO",
            "city": "PLACITAS",
            "state": "NM",
            "postal_code": "870439227",
            "telephone_number": "505-697-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY M CLINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-15",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, AUTHORIZED AGENT",
        "authorized_official_telephone_number": "505-697-1717",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17507898",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary M Cline",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauri Lineweaver, RN
• David Lisak, PHD
• Collin Lynch, MSOM, DOM
• Moriah Charlene Maccleod, LPCC
• Erica Martinez
• Linda McClain
• Adriana Medina
• Meridian Community Care LLC
• Shara Moscinska, LPCC
• Jacque Newman, CO

• Professional Counselor in Placitas, NM
• Providers in Placitas, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.