Cross Roots Counseling LLC
NPI 1063150290ActiveOrganization· Psychologist, Clinical· Albuquerque, NM
Psychologist, Clinical in Albuquerque, New Mexico, registered in NPPES in May 2022. The authorized official on file is Vanessa Lopez Viets, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063150290 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 26, 2022 |
| Last updated in NPPES | May 26, 2022 |
| Certified by provider | May 26, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NM) |
|---|
Other Psychologist, Clinical providers in Albuquerque
- 1205404159
- 1629810486
- 1881087526
- 1700496601
- 1396338562
- 1235262791
- 1992562995
- 1740981463
- 1801793872
- 1609681162
- 1841019908
- 1841332863