Active NPI
Carole Anne Grady, LPCC
- Counselor
- Las Cruces, NM
National Provider Identifier
1831326040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1944
- Practice address
- 1570 W Picacho Ave
Las Cruces, NM 88005-2375 - Phone
- (575) 202-7576
- NPI assigned
- Jun 15, 2009
- Last updated
- Jul 21, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1944 | NM | Primary |
Addresses
Primary practice location
1570 W Picacho Ave
Las Cruces, NM 88005-2375
Mailing address
145 Roberts Dr
Las Cruces, NM 88005-3073
Phone (575) 202-7576
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59482788 | Medicaid | NM |
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 |
|---|---|---|---|
| 1944 | NM | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carole a. Grady LPCC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Las Cruces, NM
- NPI 1922520162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1831326040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 ROBERTS DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053073",
"telephone_number": "575-202-7576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 W PICACHO AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880052375",
"telephone_number": "575-202-7576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRADY",
"first_name": "CAROLE",
"middle_name": "ANNE",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "1944",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "59482788",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.