NPIMap

Organization Active NPI

Equine Assisted Programs of Southern New Mexico LLC

  • Mental Health Counselor
  • Las Cruces, NM
National Provider Identifier
1730698309
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EQUINE ASSISTED PROGRAMS OF SOUTHERN NEW MEXICO LLC
Practice address
1911 Trails End Rd
Las Cruces, NM 88007-6059
Phone
(575) 888-7377
NPI assigned
Sep 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Nancy Ann Marshall, LMHCNPI 1073064028
Title
Ceo, Mental Health Counselor
Phone
(575) 888-7377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X NM Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1911 Trails End Rd
Las Cruces, NM 88007-6059

Mailing address

1911 Trails End Rd
Las Cruces, NM 88007-6059
Phone (575) 888-7377

Other practice location 1

190 Providence Road
Las Cruces, NM 88007
Phone (575) 888-7377

Other identifiers 1

IdentifierTypeStateIssuer
1073064028MedicaidNM

National Provider Directory

National Provider Directory

Locations

2521 N Main St
Unit 1116
Las Cruces, NM 88001

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1730698309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 TRAILS END RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880076059",
            "telephone_number": "575-888-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 TRAILS END RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880076059",
            "telephone_number": "575-888-7377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Providence Road",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "88007",
            "country_code": "US",
            "telephone_number": "575-888-7377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EQUINE ASSISTED PROGRAMS OF SOUTHERN NEW MEXICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO, MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "575-888-7377",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073064028",
            "state": "NM"
        }
    ],
    "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 Nov 18, 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.

Verify at the official NPI Registry.