Active NPI
Corina Madrid, LMHC
- Mental Health Counselor
- Carlsbad, NM
National Provider Identifier
1689437162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CTB-2024-0025
- Practice address
- 914 N Canal St
Carlsbad, NM 88220-5110 - Phone
- (575) 885-4836
- Fax
- (505) 443-8319
- NPI assigned
- Feb 6, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CTB-2024-0025 | NM | Primary |
Addresses
Primary practice location
914 N Canal St
Carlsbad, NM 88220-5110
Mailing address
PO Box 2671
Anthony, NM 88021-2671
Phone (575) 882-5100
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CTB-2024-0025 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1689437162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2671",
"city": "ANTHONY",
"state": "NM",
"postal_code": "880212671",
"telephone_number": "575-882-5100",
"fax_number": "575-882-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 N CANAL ST",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882205110",
"telephone_number": "575-885-4836",
"fax_number": "505-443-8319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADRID",
"first_name": "CORINA",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-06",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "CTB-2024-0025",
"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 4, 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.