Robin Ingram, LPCC | |
30 Don Tomas, Corrales, NM 87048-9607 | |
(505) 206-6725 | |
Not Available |
Full Name | Robin Ingram |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 30 Don Tomas, Corrales, 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 |
---|---|---|---|
1265069496 | NPI | - | NPPES |
5052066725 | Medicaid | NM | |
03423760 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | CTB-2022-0922 (New Mexico) | Secondary |
101YM0800X | Counselor - Mental Health | CMH0206661 (New Mexico) | Primary |
Entity Name | Casita Counseling |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679284111 PECOS PAC ID: 1355792797 Enrollment ID: O20240110000452 |
Mailing Address | Practice Location Address |
---|---|
Robin Ingram, LPCC 30 Don Tomas, Corrales, NM 87048-9607 Ph: (505) 206-6725 | Robin Ingram, LPCC 30 Don Tomas, Corrales, NM 87048-9607 Ph: (505) 206-6725 |
Tara Lynn Richardson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2469 Corrales Rd, Suite E, Corrales, NM 87048 Phone: 505-830-1871 | |
Marie Ginga, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4448 Corrlaes Rd., Corrales, NM 87048 Phone: 505-450-1948 Fax: 505-898-8900 | |
Lisa Clugston, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4686 Corrales Rd Ste 4e, Corrales, NM 87048 Phone: 505-238-6420 | |
Richard Moharter, Counselor Medicare: Medicare Enrolled Practice Location: 4101 Corrales Rd Unit 1616, Corrales, NM 87048 Phone: 505-226-0575 | |
Dr. Carol A. Brennan, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4686 Corrales Rd, #4e, Corrales, NM 87048 Phone: 505-255-7077 Fax: 505-890-1313 | |
Ms. Mallory Helen Burnett, M.A. LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2469 Corrales Road N.w., Corrales, NM 87048 Phone: 505-717-9552 Fax: 505-369-1121 | |
Veronica Darlene Reeder, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3949 Corrales Rd Ste 105, Corrales, NM 87048 Phone: 505-273-6300 |