JEANNE PROVENCIO LPCC NPI 1629061783

NPI Information

  • NPI: 1629061783
  • Provider Name: JEANNE PROVENCIO, LPCC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 505 S MAIN ST
    STE. 129
    LAS CRUCES, NM
    ZIP 88001
  • Phone: (505) 525-5644

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NPI Details

Jeanne Provencio, LPCC is a mental health counselor in Las Cruces, NM. Jeanne Provencio, LPCC NPI is 1629061783. 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:

505 S MAIN ST
STE. 129
LAS CRUCES, NM
ZIP 88001-206
Phone: (505) 525-5644
Fax: (505) 647-2010

The enumeration date for this NPI number is 8/24/2005 and was last updated on 7/8/2007.

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
1101YM0800XCounselorMental Health0529NEW MEXICOYes

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: 11/21/2025

NPI Synchronization or Removal

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