Active NPI
Omar Natividad Reyes, M.A. LPC
- Professional Counselor
- Las Cruces, NM
National Provider Identifier
1730395732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0087741
- Practice address
- 251 N Roadrunner Pkwy
Apt. 2404
Las Cruces, NM 88011-8094 - Phone
- (505) 496-7884
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 0087741 | NM | Primary |
Addresses
Primary practice location
251 N Roadrunner Pkwy
Apt. 2404
Las Cruces, NM 88011-8094
Mailing address
251 N Roadrunner Pkwy
Apt. 2404
Las Cruces, NM 88011-8094
Phone (505) 496-7884
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0087741 | NM | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730395732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 N ROADRUNNER PKWY",
"address_2": "APT. 2404",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118094",
"telephone_number": "505-496-7884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 N ROADRUNNER PKWY",
"address_2": "APT. 2404",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118094",
"telephone_number": "505-496-7884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "OMAR",
"middle_name": "NATIVIDAD",
"name_prefix": "Mr.",
"credential": "M.A. LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0087741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.