Individual provider Active NPI

Karla Leigh Palmer, MA, LMHC

  • Mental Health Counselor
  • Los Alamos, NM
National Provider Identifier
1790377596
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CMH0215471 Issued in NM
Practice address
1505 15TH St Ste C
Los Alamos, NM 87544-3000
Phone
(505) 662-4160
NPI assigned
Feb 3, 2021
Last updated
Feb 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CMH0215471 NM Primary

Addresses

Primary practice location

1505 15TH St Ste C
Los Alamos, NM 87544-3000

Mailing address

3 Karen Cir
White Rock, NM 87547-3797
Phone (505) 709-7403

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
I20240125004739 NM Practitioner - Mental Health Counselor 6305299330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Los Alamos Family Council, Inc.Group PAC ID 8325042302, 3 clinicians

Practice addresses (Care Compare)

1350 Central Ave
Suite 102
Los Alamos, NM 87544-3218
Phone (505) 662-4160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CMH0215471NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Los Alamos Family Council, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1350 Central Ave
Ste 102
Los Alamos, NM 87544
Phone (505) 551-1241

1505 15th St
Ste C
Los Alamos, NM 87544
Phone (505) 662-3264

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1790377596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 KAREN CIR",
            "city": "WHITE ROCK",
            "state": "NM",
            "postal_code": "875473797",
            "telephone_number": "505-709-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 15TH ST STE C",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875443000",
            "telephone_number": "505-662-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "KARLA",
        "middle_name": "LEIGH",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CMH0215471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

Sources for this page

Verify at the official NPI Registry.