Active NPI
Rickie Isaiah Fierro, LMHC
- Mental Health Counselor
- Espanola, NM
National Provider Identifier
1780216648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- T-CTL0208751
- Practice address
- 1200 N Paseo de Onate
Espanola, NM 87532-2687 - Phone
- (505) 747-0082
- NPI assigned
- Feb 9, 2020
- Sex
- Male
- Sole proprietor
- No
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 | T-CTL0208751 | NM | Primary |
Addresses
Primary practice location
1200 N Paseo de Onate
Espanola, NM 87532-2687
Mailing address
2500 Sawmill Rd Apt 424
Santa Fe, NM 87505-5687
Phone (505) 204-9011
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 |
|---|---|---|---|
| T-CTL0208751 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1780216648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 SAWMILL RD APT 424",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875055687",
"telephone_number": "505-204-9011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N PASEO DE ONATE",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875322687",
"telephone_number": "505-747-0082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIERRO",
"first_name": "RICKIE",
"middle_name": "ISAIAH",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-09",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "T-CTL0208751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.