Individual provider Active NPI

Carmen Chavez, LPCC, LADAC

  • Mental Health Counselor
  • Alamogordo, NM
National Provider Identifier
1871500660
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0106881 Issued in NM
Practice address
1900 10TH St
Alamogordo, NM 88310-5053
Phone
(575) 437-7404
Fax
(575) 439-2860
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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 0088881 NM
Mental Health Counselor 101YM0800X 0106881 NM Primary

Addresses

Primary practice location

1900 10TH St
Alamogordo, NM 88310-5053

Mailing address

1900 10TH St
Alamogordo, NM 88310-5053
Phone (575) 437-7404

Other identifiers 2

IdentifierTypeStateIssuer
02920026MedicaidNM
51575507MedicaidNM

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
I20240314000127 NM Practitioner - Mental Health Counselor 1254777139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Sky Counseling AssociatesGroup PAC ID 7012256175, 8 clinicians

Practice addresses (Care Compare)

1301 Oregon Ave
Suite a
Alamogordo, NM 88310-5710
Phone (575) 214-2886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0088881NMMDAddiction (Substance Use Disorder) Counselor
0106881NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Sky Counseling Associates CurrentSince Jan 20, 2024 Accepting new patients

Locations

1301 Oregon Ave
Ste A
Alamogordo, NM 88310
Phone (575) 214-2886

1021 N Florida Ave
Alamogordo, NM 88310

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1871500660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 10TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105053",
            "telephone_number": "575-437-7404",
            "fax_number": "575-439-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 10TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105053",
            "telephone_number": "575-437-7404",
            "fax_number": "575-439-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "CARMEN",
        "credential": "LPCC, LADAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0088881",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0106881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02920026",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51575507",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

Verify at the official NPI Registry.