Marcie G. Loudermilk

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CTB-2024-0001 Issued in NM

Practice address

1009 Ridgeway PL
Farmington, NM 87401-2092

Phone

(505) 402-6886

NPI assigned

Jan 11, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Knew Creation LLC

  • Professional Counselor
  • Farmington, NM
  • NPI 1235894528
  NPD (past)

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1710758487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 RIDGEWAY PL",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012092",
            "telephone_number": "505-402-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 RIDGEWAY PL",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012092",
            "telephone_number": "505-402-6886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 E 20th St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874019022",
            "country_code": "US",
            "telephone_number": "505-402-6886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUDERMILK",
        "first_name": "MARCIE",
        "middle_name": "G.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2024-0001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lora Lopez
• Rozana Marlaine Bates Lopez, LMSW
• Lorett and Company LLC
• Lotus Counseling, LLC
• Linda Lotz
• Ashley Lovato, LBSW
• Lovelace Health Systems Inc. Dba S.E.D. Medical Laboratories-Farmingto
• Samantha Lowery
• Sonya Annette Loya, LMSW
• George Douglas Loyd, R.N.

• Mental Health Counselor in Farmington, NM
• Providers in Farmington, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.