Individual provider Active NPI

Nancy W Olivas, MA, LPCC, LADAC

  • Professional Counselor
  • Las Cruces, NM
National Provider Identifier
1841435799
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0127761 Issued in NM
Practice address
1100 S Main St
Executive Stes #3
Las Cruces, NM 88005
Phone
(575) 993-9048
Fax
(575) 635-4249
NPI assigned
Dec 6, 2008
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAD3572 NM
Professional Counselor 101YP2500X CCMH0127761 NM Primary

Addresses

Primary practice location

1100 S Main St
Executive Stes #3
Las Cruces, NM 88005

Mailing address

6469 Wagons East TRL
Las Cruces, NM 88012-6735
Phone (575) 993-9048

Other identifiers 1

IdentifierTypeStateIssuer
79989560MedicaidNM

Other names 1

  • Nancy W Olivas Other name

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
I20250227001251 NM Practitioner - Mental Health Counselor 9436679990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

205 W Boutz Rd
Building 2 Suite D
Las Cruces, NM 88005-3259
Phone (575) 993-9048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CAD3572NMMDAddiction (Substance Use Disorder) Counselor
CCMH0127761NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
La Paz Counseling & Consulting, LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

205 W Boutz Rd
Bldg 2D
Las Cruces, NM 88005
Phone (575) 520-2861

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, 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": "1228521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1841435799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6469 WAGONS EAST TRL",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880126735",
            "telephone_number": "575-993-9048",
            "fax_number": "575-635-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S MAIN ST",
            "address_2": "EXECUTIVE STES #3",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88005",
            "telephone_number": "575-993-9048",
            "fax_number": "575-635-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVAS",
        "first_name": "NANCY",
        "middle_name": "W",
        "credential": "MA, LPCC, LADAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-06",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CAD3572",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0127761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79989560",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "OLIVAS",
            "middle_name": "W",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.