Juan Casaus LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0164921 Issued in NM

Legal business name

JUAN CASAUS LLC

Practice address

1102 Mountain Rd NW
Albuquerque, NM 87102-1855

Phone

(505) 315-0656

NPI assigned

Oct 28, 2017

Last updated

Jan 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juan Casaus, LPCCNPI 1588961833

Title

Practitioner

Phone

(505) 710-5516

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juan Ignacio Casaus, LPCC

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1588961833
  Medicare reassignment NPD Authorized official
• Tess Yong Kim, LPCC

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1972049104
  NPD

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

{
    "created_epoch": "1509148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1952813131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 MOUNTAIN RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021855",
            "telephone_number": "505-315-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 MOUNTAIN RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021855",
            "telephone_number": "505-315-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN CASAUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-28",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "CASAUS",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRACTITIONER",
        "authorized_official_telephone_number": "505-710-5516",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0164921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92703283",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Janice Alta Juan
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• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.