Individual provider Active NPI

Blanca Alicia Garcia

  • Professional Counselor
  • Las Cruces, NM
National Provider Identifier
1982253399
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CTB20230434 Issued in NM
Practice address
505 S Main St Ste 249
Las Cruces, NM 88001-1243
Phone
(575) 527-5823
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CTB20230434 NM Primary
School Psychologist 103TS0200X

Addresses

Primary practice location

505 S Main St Ste 249
Las Cruces, NM 88001-1243

Mailing address

505 S Main St Ste 249
Las Cruces, NM 88001-1243
Phone (575) 527-5823

Other practice location 1

5805 McNutt Rd Ste D
Santa Teresa, NM 88008-8001
Phone (575) 332-4007

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
I20260413001359 NM Practitioner - Mental Health Counselor 7618442195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

132 S Festival Dr
El Paso, TX 79912-5802

5805 McNutt Rd
Suite D
Santa Teresa, NM 88008-8001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CTB20230434NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces School District No. 2 CurrentSince Nov 8, 2020 Accepting new patients

Locations

505 S Main St
Ste 249
Las Cruces, NM 88001
Phone (575) 527-5823

Organizations & group practices 2

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": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1982253399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S MAIN ST STE 249",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011243",
            "telephone_number": "575-527-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S MAIN ST STE 249",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011243",
            "telephone_number": "575-527-5823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5805 McNutt Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Santa Teresa",
            "state": "NM",
            "postal_code": "880088001",
            "country_code": "US",
            "telephone_number": "575-332-4007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "BLANCA",
        "middle_name": "ALICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB20230434",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.