Organization Active NPI

Lacuna Inc

  • Professional Counselor
  • Taos, NM
National Provider Identifier
1982817672
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4519 Issued in NM
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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-BCNPI 1194897512
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NM100657OtherNMVALUE OPTION PROVIDER NUM
A0211MedicaidNM

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.