Individual provider Active NPI

Iracema Valdez, LMHC

  • Professional Counselor
  • Hobbs, NM
National Provider Identifier
1801205497
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0213581 Issued in NM
Practice address
920 W Broadway St
Hobbs, NM 88240-5529
Phone
(575) 393-3168
NPI assigned
Aug 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0175471 NM
Professional Counselor 101YP2500X CCMH0213581 NM Primary

Addresses

Primary practice location

920 W Broadway St
Hobbs, NM 88240-5529

Mailing address

1600 N Main Ave
Lovington, NM 88260-2830
Phone (575) 396-6611

Other practice location 1

1600 N Main Ave
Lovington, NM 88260-2830
Phone (575) 396-6611

Other identifiers 1

IdentifierTypeStateIssuer
40855872MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: No
  • 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
I20240214003166 NM Practitioner - Mental Health Counselor 4183068497 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0175471NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nor-Lea Hospital District CurrentSince Jan 2, 2024 Accepting new patients
Guidance Center of Lea County, Inc Mental Health Past Accepting new patients

Locations

515 E Main St
Hobbs, NM 88240
Phone (575) 397-0560

1600 N Main Ave
Lovington, NM 88260
Phone (575) 396-6611

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": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1801205497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N MAIN AVE",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "882602830",
            "telephone_number": "575-396-6611",
            "fax_number": "575-396-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W BROADWAY ST",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882405529",
            "telephone_number": "575-393-3168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 N Main Ave",
            "address_purpose": "LOCATION",
            "city": "Lovington",
            "state": "NM",
            "postal_code": "882602830",
            "country_code": "US",
            "telephone_number": "575-396-6611",
            "fax_number": "575-396-1454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "IRACEMA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0175471",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0213581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40855872",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobbs, NM

Sources for this page

Verify at the official NPI Registry.