Active Integration Therapy, LLC
NPI 1063045029ActiveOrganization· Counselor, Mental Health· Los Alamos, NM
Counselor, Mental Health in Los Alamos, New Mexico, registered in NPPES in February 2020. The authorized official on file is Michelle Wilde, LPCC, LMT, Member.
Overview
| NPI | 1063045029 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 18, 2020 |
| Last updated in NPPES | Feb 18, 2020 |
| Certified by provider | Feb 18, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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