Individual provider Active NPI

Collette Ceballes, MS

  • Marriage & Family Therapist
  • Las Cruces, NM
National Provider Identifier
1760120521
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
304 W Griggs Ave Ste C
Las Cruces, NM 88005-2603
Phone
(575) 405-7146
Fax
(575) 405-5446
NPI assigned
May 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

304 W Griggs Ave Ste C
Las Cruces, NM 88005-2603

Mailing address

619 N Alameda Blvd
Las Cruces, NM 88005-2130
Phone (575) 405-7146

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL myclientsplus

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240422001563 NM Practitioner - Marriage and Family Therapist 6901245018 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Vaillancourt Associates LLC Dba Alameda Marriage and Family Therapy Marriage & Family Therapist CurrentSince Mar 2, 2024 Accepting new patients
Collette Ceballes, LLC Marriage & Family Therapist CurrentSince Sep 10, 2024 Accepting new patients

Locations

619 N Alameda Blvd
Las Cruces, NM 88005
Phone (575) 201-3577

304 W Griggs Ave
Ste C
Las Cruces, NM 88005
Phone (575) 405-7146

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1760120521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 N ALAMEDA BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052130",
            "telephone_number": "575-405-7146",
            "fax_number": "575-405-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W GRIGGS AVE STE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052603",
            "telephone_number": "575-405-7146",
            "fax_number": "575-405-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEBALLES",
        "first_name": "COLLETTE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "myclientsplus",
            "affiliation": "N",
            "address_1": "304 W Griggs Ave Ste C",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880052603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.