Individual provider

Theresa Ortiz, LMSW

Mental Health Counselor Medicare enrolled

Theresa Ortiz, LMSW is a Mental Health Counselor in Bernalillo, NM, registered under NPI 1104236694. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 1043 HIGHWAY 313, Bernalillo, NM 87004. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1043 HIGHWAY 313, Bernalillo, NM 87004 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
M-08152 NM Mental Health Counselor primary

This provider holds licence M-08152 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 - Clinical Social Worker
PAC ID
7719423128

Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Social Worker. 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 Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YM0800X
Behavioral Health & Social Service Providers Counselor Mental Health

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.

NPI1104236694 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 6, 2014
Last updatedMay 6, 2014
StatusActive
Sole proprietorYes
CredentialLMSW
Practice address 1043 HIGHWAY 313
Bernalillo, NM 87004
(505) 867-3351
Fax (505) 867-3514
Mailing address 10619 VIRGO ST NW
Albuquerque, NM 87114
This record was last updated on May 6, 2014, roughly 12 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1104236694 passes the NPI check digit test The final digit 4 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 2 3 6 6 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 4 3 3 6 9

Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4

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 1104236694?
NPI 1104236694 is the National Provider Identifier assigned to Theresa Ortiz, LMSW in Bernalillo, 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 Mental Health cover?
Definition to come...
How do I contact Theresa Ortiz, LMSW?
The phone number on file with NPPES is (505) 867-3351, last updated May 6, 2014. 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 Theresa Ortiz, LMSW 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 1104236694 a valid number?
Yes. 1104236694 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.