| Nichole M Esparza, LPCC | |
|
5312 Rio Bravo Dr Ste 10, Santa Teresa, NM 88008-9210 | |
| (575) 526-1105 | |
| (575) 524-4266 |
| Full Name | Nichole M Esparza |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 5312 Rio Bravo Dr Ste 10, Santa Teresa, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063134583 | NPI | - | NPPES |
| 95323783 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CTB-2022-0665 (New Mexico) | Secondary |
| 101YP2500X | Counselor - Professional | CTB-2024-0846 (New Mexico) | Primary |
| Entity Name | La Clinica De Familia, Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528424397 PECOS PAC ID: 6305745191 Enrollment ID: O20031231000076 |
| Mailing Address | Practice Location Address |
|---|---|
| Nichole M Esparza, LPCC 5312 Rio Bravo Dr Ste 10, Santa Teresa, NM 88008-9210 Ph: (575) 526-1105 | Nichole M Esparza, LPCC 5312 Rio Bravo Dr Ste 10, Santa Teresa, NM 88008-9210 Ph: (575) 526-1105 |
Yuridia Orozco, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5305 Mcnutt Rd, Santa Teresa, NM 88008 Phone: 575-882-5100 Fax: 575-882-1151 | |
Elizabeth Mays, Counselor Medicare: Medicare Enrolled Practice Location: 5305 Mcnutt Rd, Santa Teresa, NM 88008 Phone: 575-882-5100 Fax: 575-882-1151 | |
Steven Ruiz, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5305 Mcnutt Rd Ste 206, Santa Teresa, NM 88008 Phone: 575-882-5100 Fax: 575-882-1151 | |
Christina Melendez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5312 Rio Bravo Dr Ste 10, Santa Teresa, NM 88008 Phone: 575-915-1338 Fax: 575-915-1819 | |
Valeria Macias, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5305 Mcnutt Rd, Santa Teresa, NM 88008 Phone: 575-882-5100 Fax: 575-882-1151 | |
Vanessa X Ortiz, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5300 Mcnutt Rd Ste 10, Santa Teresa, NM 88008 Phone: 915-203-8616 |