Cortny M. Stark, MA, LPCC, LADAC, CRC
NPI 1104176148ActiveIndividual· Counselor, Professional· Rio Rancho, NM
Counselor, Professional (MA, LPCC, LADAC, CRC) in Rio Rancho, New Mexico, licensed in NM, with an NPI issued in September 2012. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1104176148 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA, LPCC, LADAC, CRC |
| Sole proprietor | No |
| NPI issued | Sep 18, 2012 |
| Last updated in NPPES | Aug 30, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | CCMH0198781 | NM |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | CAD0171001 | NM |
| Psychologist, Rehabilitation | 103TR0400X | 00165351 | NM |
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) | Enrolled Practitioner - Mental Health Counselor (NM) |
|---|
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