Faith M Mahoney, LPCC LADAC
Counselor, Professional in Las Cruces, NM. Individual provider (NPI-1).
Details
- NPI
- 1235208596
- Entity type
- Individual (NPI-1)
- Name
- Ms. Faith M Mahoney
- Credential
- LPCC LADAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2006
- Certification date
- Apr 7, 2021
- Last updated
- May 6, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | CCMH0215331 | NM | Yes |
| 101Y00000X | Counselor | LPC1692 | TN | |
| 101Y00000X | Counselor | LDC928 | TN | |
| 101YP2500X | Counselor, Professional | 1692 | TN |
Practice location
535 S. Miranda St.Las Cruces, NM 88005
Phone 575-647-2800 · Fax 575-647-2898
Mailing address
385 Calle De Alegra Ste ALas Cruces, NM 88005-3423
Phone 575-526-1105 · Fax 575-524-4266
Other practice locations
Johnson City, TN 37605
Phone 423-232-2600 · Fax 423-232-2646
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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