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Mikaela Ivy-Kian Adais Addams

NPI 1346007069ActiveIndividual· Counselor, Professional· Portales, NM

Counselor, Professional in Portales, New Mexico, licensed in NM, with an NPI issued in February 2024. Enrolled in Medicare as practitioner - mental health counselor.

Overview

NPI1346007069
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedFeb 29, 2024
Last updated in NPPESJun 1, 2026
Certified by providerJun 1, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Counselor, Professional Primary101YP2500XCTB-2023-0693NM

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Mental Health Counselor (NM)

Medicare sources and data years

Education and affiliations

Graduation year2021
Medicare specialtyMental Health Counselor

Source: CMS Care Compare

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