Active NPI
Eileen Roulezux Watts, LPCC
- Counselor
- Las Cruces, NM
National Provider Identifier
1982669974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0060341
- Practice address
- 350 El Molino
Las Cruces, NM 88005 - Phone
- (505) 647-2846
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0060341 | NM | Primary |
Addresses
Primary practice location
350 El Molino
Las Cruces, NM 88005
Mailing address
350 El Molino
Las Cruces, NM 88005
Phone (505) 647-2846
Other names 1
- Eileen Missall
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 |
|---|---|---|---|
| 0060341 | NM | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central New Mexico Counseling Services, LLC | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Los Lunas, NM
- NPI 1922399880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982669974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 EL MOLINO",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88005",
"telephone_number": "505-647-2846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 EL MOLINO",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88005",
"telephone_number": "505-647-2846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "EILEEN",
"middle_name": "ROULEZUX",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "0060341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EILEEN",
"last_name": "MISSALL",
"code": "1",
"type": "Former Name"
}
]
}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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.