Individual provider Active NPI

Jose Cera

  • Mental Health Counselor
  • Las Cruces, NM
National Provider Identifier
1992469738
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0218111 Issued in NM
Practice address
715 E Idaho Ave Ste 2B
Las Cruces, NM 88001-4701
Phone
(575) 556-9585
NPI assigned
Oct 27, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0218111 NM Primary

Addresses

Primary practice location

715 E Idaho Ave Ste 2B
Las Cruces, NM 88001-4701

Mailing address

715 E Idaho Ave Ste 2B
Las Cruces, NM 88001-4701
Phone (575) 556-9585

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@anewhopetc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0218111NMMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1992469738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E IDAHO AVE STE 2B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880014701",
            "telephone_number": "575-556-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E IDAHO AVE STE 2B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880014701",
            "telephone_number": "575-556-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERA",
        "first_name": "JOSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0218111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@anewhopetc.org",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "715 E Idaho Ave Ste 2B",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880014701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.