Active NPI
Heather L. Weise
- Psychiatric/Mental Health Nurse Practitioner
- Las Cruces, NM
National Provider Identifier
1962691139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 90120
- Practice address
- 118 S Downtown Mall
Las Cruces, NM 88001-1218 - Phone
- (575) 647-2800
- NPI assigned
- Oct 23, 2007
- Last updated
- Aug 6, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 90120 | NM | Primary |
| Mental Health Counselor | 101YM0800X | 0106621 | NM |
Addresses
Primary practice location
118 S Downtown Mall
Las Cruces, NM 88001-1218
Mailing address
100 W Griggs Ave
Las Cruces, NM 88001-1234
Phone (575) 647-2800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47043 | Medicaid | NM | |
| 85-0204142 | Other | NM | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0106621 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Counseling Center | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Exclusive Provider Organization
- Las Cruces, NM
- NPI 1205855970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1962691139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W GRIGGS AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880011234",
"telephone_number": "575-647-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 S DOWNTOWN MALL",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880011218",
"telephone_number": "575-647-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISE",
"first_name": "HEATHER",
"middle_name": "L.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-23",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NM",
"license": "90120",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0106621",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47043",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "85-0204142",
"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 Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.