NPIMap

Organization Active NPI

Andrea Mata

Doing business as Counseling serving services

  • Community/Behavioral Health Agency
  • Las Cruces, NM
National Provider Identifier
1801321062
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
M-08861 Issued in NM
Legal business name
ANDREA MATA
Doing business as
Counseling serving services
Practice address
501 N Roadrunner Pkwy Apt 205
Las Cruces, NM 88011-8072
Phone
(575) 405-2351
NPI assigned
Apr 25, 2017
Last updated
Apr 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Andrea Mata, LMSWNPI 1093231821
Title
Therapist
Phone
(575) 405-2351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X M-08861 NM Primary

Addresses

Primary practice location

501 N Roadrunner Pkwy Apt 205
Las Cruces, NM 88011-8072

Mailing address

501 N Roadrunner Pkwy Apt 205
Las Cruces, NM 88011-8072
Phone (575) 405-2351

Other names 1

  • Counseling serving services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1801321062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N ROADRUNNER PKWY APT 205",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118072",
            "telephone_number": "575-405-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N ROADRUNNER PKWY APT 205",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118072",
            "telephone_number": "575-405-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA MATA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "MATA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "575-405-2351",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "M-08861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling serving services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.