ANDREA MATA


Address: 501 N Roadrunner Pkwy Apt 205, Las Cruces, NM 88011-8072
Phone: 5754052351

ANDREA MATA (NPI# 1801321062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801321062
Entity Type Organization
Organization Name ANDREA MATA
Other Organization Name COUNSELING SERVING SERVICES
Practice Address 501 N Roadrunner Pkwy Apt 205
Las Cruces
NM 88011-8072
Practice Telephone 5754052351
Mailing Telephone 5754052351
Enumeration Date 2017-04-25
Last Update Date 2017-04-25
Authorized Official Name ANDREA MATA (THERAPIST)
Authorized Official Telephone 5754052351
Authorized Official Credential LMSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health M-08861 NM Agencies

Other Provider/Organization Names

Other Name Type Code
Counseling serving services Doing Business As Name - Organization

Office Location

Street Address 501 N ROADRUNNER PKWY APT 205
City LAS CRUCES
State NM
Zip Code 88011-8072

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NPI Name Taxonomy Address Enumeration
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1831719368 Borna Mansouri Student in an Organized Health Care Education/Training Program 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 2020-04-24
1306474408 Madonna Petula Phillip Student in an Organized Health Care Education/Training Program 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 2020-04-01
1285267849 Back In Action Therapy of Las Cruces Occupational Therapist 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 2020-02-21
1649818725 Kimberly Ann Smetzer Registered Nurse 4401 East Lohman, Building 5, Las Cruces, NM 88011 2019-12-19
1548806375 Melinda Michelle Fowler Social Worker 2605 Terrace Drive, Las Cruces, NM 88011 2019-11-27
1871134692 Rio Grande Hematology and Oncology, LLC Internal Medicine 4391 East Lohman Ave., Las Cruces, NM 88011 2019-10-02
1972083640 Lorianna R. Narvaez Counselor 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 2018-08-21
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306443924 Recovery Innovations, Inc Community/Behavioral Health 1850 Copper Loop Bldg B, Las Cruces, NM 88005-8139 2020-10-06
1912561515 Amistad Family Services Inc Community/Behavioral Health 390 Calle De Alegra Ste B, Las Cruces, NM 88005-3280 2019-04-29
1689148033 Change of Heart Behavior Services LLC Community/Behavioral Health 1776 Vista Montana Rd, Las Cruces, NM 88005-6264 2019-01-18
1063997161 Amanecer Community Counseling Center Community/Behavioral Health 128 Wyatt Dr, Las Cruces, NM 88005-2925 2018-09-25
1669955373 Aldv, LLC Community/Behavioral Health 4129 Calle De Estrellas, Las Cruces, NM 88012-7649 2018-09-09
1386139780 Rydan Solutions Inc Community/Behavioral Health 303 N Alameda Blvd, Las Cruces, NM 88005-2590 2018-06-27
1851898423 Jacqueline M Meraz Community/Behavioral Health 4020 N Valley Dr, Las Cruces, NM 88007-6844 2018-04-10
1730688557 Sears Counseling LLC Community/Behavioral Health 1100 S. Main Street Suite 22, Las Cruces, NM 88005-8800 2018-02-07
1922549492 Marisol Olivas Lmft LLC Community/Behavioral Health 5019 Kensington Way, Las Cruces, NM 88012 2017-03-16
1598114068 Camino Nuevo Counseling Community/Behavioral Health 1570 W Picacho Ave Ste 2, Las Cruces, NM 88005-2375 2016-06-06
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Competitor

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City LAS CRUCES
Zip Code 88011

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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