Active NPI
Mike Jerry Tapia, LMHC
- Mental Health Counselor
- Rio Rancho, NM
National Provider Identifier
1760612691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PROVISIONAL
- Practice address
- 3505 Elder Meadows Dr NE
Rio Rancho, NM 87144-0564 - Phone
- (505) 892-8150
- NPI assigned
- Jul 27, 2009
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PROVISIONAL | NM | Primary |
Addresses
Primary practice location
3505 Elder Meadows Dr NE
Rio Rancho, NM 87144-0564
Mailing address
3505 Elder Meadows Dr NE
Rio Rancho, NM 87144
Phone (505) 892-8150
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PROVISIONAL | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248652800000",
"number": "1760612691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 ELDER MEADOWS DR NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "87144",
"telephone_number": "505-892-8150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 ELDER MEADOWS DR NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871440564",
"telephone_number": "505-892-8150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAPIA",
"first_name": "MIKE",
"middle_name": "JERRY",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-27",
"last_updated": "2009-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "PROVISIONAL",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.