Individual provider

Cortny Stark, MA, LPCC, LADAC, CRC

Professional Counselor Addiction (Substance Use Disorder) Counselor Rehabilitation Psychologist Medicare enrolled

Cortny Stark, MA, LPCC, LADAC, CRC is a Professional Counselor in Rio Rancho, NM, registered under NPI 1104176148. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1316 JACKIE RD SE STE 900, Rio Rancho, NM 87124. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1316 JACKIE RD SE STE 900, Rio Rancho, NM 87124 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
CCMH0198781 NM Professional Counselor primary
CAD0171001 NM Addiction (Substance Use Disorder)…
00165351 NM Rehabilitation Psychologist

This provider holds licence CCMH0198781 issued in NM. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Mental Health Counselor
PAC ID
1355782434

Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Professional covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YP2500X
Behavioral Health & Social Service Providers Counselor Professional

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YP2500X Professional Counselor Professional CCMH0198781 NM primary
101YA0400X Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) CAD0171001 NM
103TR0400X Rehabilitation Psychologist Rehabilitation 00165351 NM

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104176148 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 18, 2012
Last updatedAug 30, 2018
StatusActive
Sole proprietorNo
CredentialMA, LPCC, LADAC, CRC
Practice address 1316 JACKIE RD SE STE 900
Rio Rancho, NM 87124
(505) 289-1042
Mailing address 2605 INCA RD NE
Rio Rancho, NM 87144
The last update on file is Aug 30, 2018. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1104176148 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 1 7 6 1 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 2 7 3 1 8

Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104176148?
NPI 1104176148 is the National Provider Identifier assigned to Cortny Stark, MA, LPCC, LADAC, CRC in Rio Rancho, NM. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Professional cover?
Definition to come...
How do I contact Cortny Stark, MA, LPCC, LADAC, CRC?
The phone number on file with NPPES is (505) 289-1042, last updated Aug 30, 2018. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Cortny Stark, MA, LPCC, LADAC, CRC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104176148 a valid number?
Yes. 1104176148 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.