Individual provider Active NPI

Jeanette Diaz, LMHC

  • Mental Health Counselor
  • Los Ranchos, NM
National Provider Identifier
1871405886
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CTB-2024-0241 Issued in NM
Practice address
6713 4TH St NW
Los Ranchos, NM 87107-6114
Phone
(505) 718-2119
Fax
(505) 944-1953
NPI assigned
Sep 22, 2026
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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 CTB-2024-0241 NM Primary

Addresses

Primary practice location

6713 4TH St NW
Los Ranchos, NM 87107-6114

Mailing address

6411 Canavio PL NW
Albuquerque, NM 87120-7052
Phone (505) 718-2119

Other practice location 1

13929 Paseo Honor Ct
El Paso, TX 79928-4462
Phone (505) 718-2119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1871405886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 CANAVIO PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871207052",
            "telephone_number": "505-718-2119",
            "fax_number": "505-944-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6713 4TH ST NW",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "871076114",
            "telephone_number": "505-718-2119",
            "fax_number": "505-944-1953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13929 Paseo Honor Ct",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799284462",
            "country_code": "US",
            "telephone_number": "505-718-2119",
            "fax_number": "505-944-1953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JEANETTE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2024-0241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Ranchos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.