MRS. CATHARYN DIANNE CRALL (NPI# 1619441227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619441227 |
| Entity Type | Individual |
| Full Name | MRS. CATHARYN DIANNE CRALL |
| Other Name | CATHARYN CRALL |
| Credential | MS, LMHC, NCC |
| Practice Address |
1907 Central Ave Ste 214 Los Alamos NM 87544-4017 |
| Mailing Address |
7301 Indian School Rd Ne Ste A Albuquerque NM 87110-4504 |
| Practice Telephone | 5053090505 |
| Mailing Telephone | 5052660441 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2020-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
CMH0204871 | NM | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 38406861 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7301 Indian School Rd Ne Ste A, Albuquerque, NM 871104504 | 5052660441 |
| Street Address |
1907 CENTRAL AVE STE 214 |
| City | LOS ALAMOS |
| State | NM |
| Zip Code | 87544-4017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679945935 | Zia Home Health | Home Health | 1475 Central Ave., Suite 125, Los Alamos, NM 87544 | 2015-10-27 |
| 1295131167 | Sara Pocernik | Dietitian, Registered | 1450 Iris Street, Los Alamos, NM 87544 | 2014-11-05 |
| 1760824890 | Lisa Renee Marr Lyon | Psychologist | 3917 West Road, Suite 128, Children's Clinic, P.a., Los Alamos, NM 87544 | 2013-07-17 |
| 1558629725 | Rachel Meyer | Dentist | 112 Central Park Square, Los Alamos, NM 87544 | 2012-04-25 |
| 1902183908 | Susana T. Chavarria | Occupational Therapist | 5 Quemazon Pl., Los Alamos, NM 87544 | 2011-11-04 |
| 1881998664 | Dr. Tom Child and Adolescent Medicine | Pediatrics | Los Alamos Medical Center, 3917 West Rd, Suite M250, Los Alamos, NM 87544 | 2011-01-07 |
| 1952565905 | Dawn Judy Barr | Social Worker | 3 Agila Ct, Los Alamos, NM 87544 | 2008-07-17 |
| 1649452129 | Ellen Vandergust Ballard | Dentist | 111 Longview, Suite B-3, White Rock, NM 87544 | 2007-11-27 |
| 1629290283 | Wildwind Dental | Dentist | 111 Longview Drive, Suite B3, Los Alamos, NM 87544 | 2007-05-03 |
| 1255407342 | Sarah Sue Teasdale | Counselor | 1362 C Trinity Dr, Los Alamos, NM 87544 | 2006-11-28 |
| Find all providers in zip 87544 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063045029 | Active Integration Therapy, LLC | Counselor | 3250 Trinity Dr Ste B1, Los Alamos, NM 87544-2226 | 2020-02-18 |
| 1952962540 | Michelle Harkey | Counselor | 3250 Trinity Dr Ste B2, Los Alamos, NM 87544-2226 | 2019-06-25 |
| 1699237982 | Desert Sky Therapy Services, LLC | Counselor | 1505 15th St # A8, Los Alamos, NM 87544-3000 | 2019-04-04 |
| 1437501913 | Stephanie Koch | Counselor | 1475 Central Ave Ste 210, Los Alamos, NM 87544-4207 | 2016-07-07 |
| 1255605713 | Tom Steward, P.a. | Counselor | 1475 Central Ave Ste 220, Los Alamos, NM 87544-4207 | 2012-03-01 |
| 1477541928 | Carolyn Erickson | Counselor | 3250 Trinity Dr, Ste C, Los Alamos, NM 87544-2226 | 2005-10-10 |
| 1902410004 | Marianne Alice Elden | Counselor | 1505 15th St Ste C, Los Alamos, NM 87544-3000 | 2020-09-04 |
| 1851842470 | Linda Pike Bennett | Counselor | 1475 Central Ave, Suite 210, Los Alamos, NM 87544-3160 | 2016-10-19 |
| 1881051647 | Erin Mcginty James | Counselor | 1505 15th St, Ste. C, Los Alamos, NM 87544-3000 | 2016-01-25 |
| 1538539952 | Lindsay Provan | Counselor | 1505 15th St Ste C, Los Alamos, NM 87544-3000 | 2015-09-28 |
| Find all providers in LOS ALAMOS | ||||
| City | LOS ALAMOS |
| Zip Code | 87544 |
Please comment or provide details below to improve the information on MRS. CATHARYN DIANNE CRALL.
| 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.