Nathaniel Lukas Redekopp, NCC, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CTB-2022-0915 Issued in NM

Practice address

1900 10TH St
Alamogordo, NM 88310-5053

Phone

(575) 249-4950

NPI assigned

Apr 16, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pawsitively Transformational Health and Wellness Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alamogordo, NM
  • NPI 1316547904
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1952921223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 10TH ST # 400",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106413",
            "telephone_number": "505-331-4429"
        },
        {
            "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": "575-249-4950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "912 N Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Alamogordo",
            "state": "NM",
            "postal_code": "883106422",
            "country_code": "US",
            "telephone_number": "575-249-4950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDEKOPP",
        "first_name": "NATHANIEL",
        "middle_name": "LUKAS",
        "name_prefix": "Mr.",
        "credential": "NCC, LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-16",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CMH0210781",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2022-0915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannen Ashley Rauls
• Ruth Rawlings, M.D.
• Alisha Rayamajhi, MD
• Luzmaria Rayman
• Natalie Rector
• Austin Reed
• James Regions, LPCC
• Courtney Reicherter
• Cierra Reid
• Traci A Reindle, DPT, MS, ATC

• Professional Counselor in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.