Laura Mercado-Cuellar, LMHC
Individual provider Active NPI Mental Health Counselor · Chaparral, NM
NPI 1740646918 · NPPES record last updated Jan 4, 2016
Key facts
- NPI
- 1740646918
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- T-0178491 (NM)
- Practice address
- 320 McCombs Rd Ste C
Chaparral, NM 88081-7937 - Phone
- (575) 882-5100
- Fax
- (575) 882-1151
- NPI assigned
- Jan 4, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-0178491 | NM | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | T-0178491 | NM | Yes |
Addresses
Primary practice location
320 McCombs Rd Ste C
Chaparral, NM 88081-7937
Mailing address
320 McCombs Rd Ste C
Chaparral, NM 88081-7937
Phone (575) 882-5100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64153274 | Medicaid | NM |
Other providers in Chaparral, NM
- Javier F Martinez
- Kevin M McGuinness
- Christal Medina
- Cecilia Mendez
- Mario Mendoza
- Larissa Meza
- Erica Michelle Money
- Mario Montes
- Sylvia Montes
- Ana Lilia Morado
All providers in Chaparral, NM · Mental Health Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.