Organization Active NPI

Carole a. Grady LPCC

  • Community/Behavioral Health Agency
  • Las Cruces, NM
National Provider Identifier
1922520162
Registry record updated Jul 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1944 Issued in NM
Legal business name
CAROLE A. GRADY LPCC
Practice address
1570 W Picacho Ave
Las Cruces, NM 88005-2375
Phone
(575) 202-7576
Fax
(575) 222-0659
NPI assigned
Jul 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2017

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

Authorized official

Name
Carole A Grady, LPCC, MED, CEPNPI 1831326040
Title
Sole-Proprieter
Phone
(575) 202-7576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 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

IdentifierTypeStateIssuer
59482788MedicaidNM

National Provider Directory

National Provider Directory

Locations

1570 W Picacho Ave
Las Cruces, NM 88005
Phone (575) 202-7576

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499644800000",
    "number": "1922520162",
    "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",
            "fax_number": "575-222-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLE A. GRADY LPCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-10",
        "last_updated": "2017-07-10",
        "status": "A",
        "authorized_official_last_name": "GRADY",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE-PROPRIETER",
        "authorized_official_telephone_number": "575-202-7576",
        "authorized_official_credential": "LPCC, MED, CEP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 10, 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.