KATANA WOLF


Address: 105 W Griggs Ave, Las Cruces, NM 88001-1235
Phone: 5756472879

KATANA WOLF (NPI# 1922630755) 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) 1922630755
Entity Type Individual
Full Name KATANA WOLF
Credential PEER SUPPORT WORKER
Practice Address 105 W Griggs Ave
Las Cruces
NM 88001-1235
Mailing Address 385 Calle De Alegra Ste A
Las Cruces
NM 88005-3423
Practice Telephone 5756472879
Practice Fax Number 5756472898
Mailing Telephone 5755261105
Mailing Fax Number 5755244266
Enumeration Date 2020-02-10
Last Update Date 2020-02-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist 1046 NM Other Service Providers

Office Location

Street Address 105 W GRIGGS AVE
City LAS CRUCES
State NM
Zip Code 88001-1235

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235162934 Sharon A. Paulowsky Counselor 105 W Griggs Ave, Las Cruces, NM 88001 2006-07-08
1205443777 Manuela Antonia Corral Case Manager/Care Coordinator 105 W Griggs Ave, Las Cruces, NM 88001-1235 2020-09-28
1164033239 Sonya Annette Hicks Social Worker 105 W Griggs Ave, Las Cruces, NM 88001-1235 2020-08-12
1114536984 Heather Rose Quiroz Social Worker 105 W Griggs Ave, Las Cruces, NM 88001-1235 2020-07-28
1750908877 Paula Rae Barnoskie Case Manager/Care Coordinator 105 W Griggs Ave, Las Cruces, NM 88001-1235 2020-07-06
1245853266 Celia Elizabeth Perez Case Manager/Care Coordinator 105 W Griggs Ave, Las Cruces, NM 88001-1235 2020-05-26
1982237194 Patricia Ulloa Case Manager/Care Coordinator 105 W Griggs Ave, Las Cruces, NM 88001-1235 2020-02-16
1699307215 Michelle Edith Rivera Licensed Practical Nurse 105 W Griggs Ave, Las Cruces, NM 88001-1235 2020-02-11
1992337745 Otis Henderson Case Manager/Care Coordinator 105 W Griggs Ave, Las Cruces, NM 88001-1235 2020-02-10
1528690302 Bernadette Gamboa Case Manager/Care Coordinator 105 W Griggs Ave, Las Cruces, NM 88001-1235 2020-02-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760020044 Three Crosses Regional Hospital LLC General Acute Care Hospital 2560 Samaritan Drive, Las Cruces, NM 88001 2019-12-17
1760961908 Halcyon Health of The Southwest, LLC Nurse Practitioner 1355 California Ave Ste B, Las Cruces, NM 88001 2018-08-08
1255818530 Lago Claro, LLC Counselor 2410 S. Espina St, Las Cruces, NM 88001 2018-07-19
1407371818 Elijah Daniel Perez Behavior Technician 1535 Myrtle Ave, Las Cruces, NM 88001 2017-08-07
1982128641 Krystal Marie Ruiz Psychologist 505 S. Main, Ste. 249, Las Cruces, NM 88001 2017-08-03
1457886913 Mathew Petersen Dds PC Dentist 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 2017-04-21
1801343439 Celia Holmes Registered Nurse 505 S Main, Ste 249, Las Cruces, NM 88001 2016-09-01
1427420223 Sara Guidetti Family Medicine 3080 Breland Drive, Las Cruces, NM 88001 2015-10-20
1679987234 Maria De Jesus Martinez Nurse Practitioner 1170 N. Solano Ste A, Las Cruces, NM 88001 2014-06-11
1851701494 Viola E Garcia Case Manager/Care Coordinator 100 W Griggs, Las Cruces, NM 88001 2014-05-05
Find all providers in zip 88001

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154942746 Samantha Ashcroft Peer Specialist 2801 Missouri Ave Ste 22, Las Cruces, NM 88011-5062 2020-05-05
1558820043 Gabriela C Ochoa Peer Specialist 2801 Missouri Ave Ste 38, Las Cruces, NM 88011-9151 2019-03-14
1306482161 Stephanie Necole Reiss Peer Specialist 100 W Griggs Ave, Las Cruces, NM 88001-1234 2019-11-26
1205472511 Marisol Cano-garcia Peer Specialist 303 N Alameda Blvd, Las Cruces, NM 88005-2590 2019-11-21
1609412253 Ginger Shannon Peer Specialist 303 N Alameda Blvd, Las Cruces, NM 88005-2590 2019-11-19
1114562360 William Edward Branco Peer Specialist 303 N Alameda Blvd, Las Cruces, NM 88005-2590 2019-11-12
1972148120 Martin Medina Peer Specialist 303 N Alameda Blvd, Las Cruces, NM 88005-2590 2019-11-12
1144887282 Veronica Delgado Peer Specialist 100 W Griggs Ave, Las Cruces, NM 88001-1234 2019-05-23
1174096945 Anthony Charles Mason Peer Specialist 100 W Griggs Ave, Las Cruces, NM 88001-1234 2019-01-04
1700398245 Patricia Susan Gonzales Peer Specialist 100 W Griggs Ave, Las Cruces, NM 88001-1234 2017-10-24
Find all providers in LAS CRUCES

Competitor

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City LAS CRUCES
Zip Code 88001

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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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