Active NPI
Kathryn G. Lackner, LPCC
- Professional Counselor
- Carlsbad, NM
National Provider Identifier
1710968193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CCMH2128
- Practice address
- 1900 Westridge Rd
Carlsbad, NM 88220-3550 - Phone
- (575) 725-5552
- Fax
- (575) 725-5552
- NPI assigned
- Nov 11, 2005
- Last updated
- Oct 16, 2025
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CCMH2128 | NM | Primary |
Addresses
Primary practice location
1900 Westridge Rd
Carlsbad, NM 88220-3550
Mailing address
PO Box 3141
Carlsbad, NM 88221-3141
Phone (575) 725-5552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48550035 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1984
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 3141
Carlsbad, NM 88221
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CCMH2128 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlsbad Lifehouse Inc | Mental Health | Current | Accepting new patients |
Locations
2324 W Pierce St
Carlsbad, NM 88220
Phone (575) 725-5552
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1710968193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3141",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882213141",
"telephone_number": "575-725-5552",
"fax_number": "575-725-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 WESTRIDGE RD",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882203550",
"telephone_number": "575-725-5552",
"fax_number": "575-725-5552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACKNER",
"first_name": "KATHRYN",
"middle_name": "G.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-11",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "CCMH2128",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "48550035",
"state": "NM"
}
],
"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 Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.