JESSICA CALDERA MST NPI 1194058164

NPI Information

  • NPI: 1194058164
  • Provider Name: JESSICA CALDERA, MST
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1621 SUTTER PLACE
    CLOVIS, NM
    ZIP 88101
  • Phone: (575) 742-2620

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NPI Details

Jessica Caldera, MST is a mental health counselor in Clovis, NM. Jessica Caldera, MST NPI is 1194058164. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1621 SUTTER PLACE
CLOVIS, NM
ZIP 88101
Phone: (575) 742-2620
Fax: (575) 742-3182

The enumeration date for this NPI number is 9/9/2009 and was last updated on 3/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2101YM0800XCounselorMental Health01369101NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1L7904MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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