Casita Counseling
Organization Active NPI Mental Health Counselor · Corrales, NM
NPI 1679284111 · NPPES record last updated Dec 6, 2022
Key facts
- NPI
- 1679284111
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- CASITA COUNSELING
- Practice address
- 30 Don Tomas
Corrales, NM 87048-9607 - Phone
- (505) 206-6725
- NPI assigned
- Dec 6, 2022
- Organization subpart
- No
Authorized official
- Name
- Robin Ingram, LPC
- Title
- Owner
- Phone
- (505) 206-6725
Practitioners 1
-
Robin Ingram, LPCC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240110000452 | NM | Part B Supplier - Clinic/Group Practice | 1355792797 |
Receives reassigned benefits from 1 practitioner Practice locations: Corrales, NM |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
30 Don Tomas
Corrales, NM 87048-9607
Mailing address
30 Don Tomas
Corrales, NM 87048-9607
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03423760 | Medicaid | NM |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | robin.ingram1234@gmail.com | Health Information Exchange (HIE) |
Other providers in Corrales, NM
- Mallory Helen Burnett
- Caitlein Nichole Bye-McCleskey
- Christopher S Cadman
- Sandra J. Carley
- Carol L Hunter, PC
- Bethany Jordan Castillo
- Patricia V Cervantes
- Changing Life'S Direction, LLC
- Megan Claire Chavez
- Chirolittle Inc
All providers in Corrales, NM · Mental Health 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 Dec 6, 2022. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.