Active NPI
Lacuna Inc
- Professional Counselor
- Taos, NM
National Provider Identifier
1982817672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4519
- Legal business name
- LACUNA INC
- Practice address
- 112 Alexander St # B
Taos, NM 87571-6278 - Phone
- (505) 770-6713
- Fax
- (505) 751-7231
- NPI assigned
- May 8, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Natalie Rae Carlton, LPCC, ATR-BC
- Title
- Ceo of Lacuna
- Phone
- (505) 751-3565
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4519 | NM | Primary |
Addresses
Primary practice location
112 Alexander St # B
Taos, NM 87571-6278
Mailing address
7479 Ndcbu
Taos, NM 87571-6177
Phone (505) 770-6713
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM100657 | Other | NM | VALUE OPTION PROVIDER NUM |
| A0211 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
112 Alexander St
#B
Taos, NM 87571
Phone (505) 770-6713
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Professional Counselor
- Taos, NM
- NPI 1194897512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1982817672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7479 NDCBU",
"city": "TAOS",
"state": "NM",
"postal_code": "875716177",
"telephone_number": "505-770-6713",
"fax_number": "505-751-7231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 ALEXANDER ST # B",
"city": "TAOS",
"state": "NM",
"postal_code": "875716278",
"telephone_number": "505-770-6713",
"fax_number": "505-751-7231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LACUNA INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CARLTON",
"authorized_official_first_name": "NATALIE",
"authorized_official_middle_name": "RAE",
"authorized_official_title_or_position": "CEO OF LACUNA",
"authorized_official_telephone_number": "505-751-3565",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPCC, ATR-BC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "4519",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTION PROVIDER NUM",
"identifier": "NM100657",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A0211",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.