Core Mentalhealth Clinic LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

CORE MENTALHEALTH CLINIC LLC

Practice address

1557 Monte Vista Ave
Las Cruces, NM 88001-5731

Phone

(575) 571-6948

NPI assigned

Mar 15, 2024

Organization subpart

No

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

Authorized official

Name

Ekeoma Cooper, NP

Title

Nurse Practitioner

Phone

(575) 571-6948

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1760241434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 NORTHWEST DR STE 350",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751501364",
            "telephone_number": "575-571-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 MONTE VISTA AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015731",
            "telephone_number": "575-571-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE MENTALHEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "EKEOMA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "575-571-6948",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste Cordero
• Nathan Cordero
• Angelo Cordova, LCSW
• Dolores Cordova, CFNP
• Kathleen Joyce Cordova, D.D.S.
• Core Primarycare Clinic LLC
• Tabatha Coreas-Dodson
• Corey Vas Counseling Inc
• Elias Cornejo
• Javier Cornejo Jr., CPSW

• Nurse Practitioner in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.