DR. KOURTNEY T. VAILLANCOURT PH.D, LMFT, LADAC
NPI 1003009432
Marriage & Family Therapist in Las Cruces, NM

Q: What is Kourtney Vaillancourt's NPI number?

The NPI number for Kourtney Vaillancourt is 1003009432. It was assigned to this individual provider in the NPPES registry on August 20, 2007.

Q: What is Kourtney Vaillancourt's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since August 20, 2007PECOS Enrolled

619 N ALAMEDA BLVD, LAS CRUCES, NM 88005(575) 405-7146(575) 405-5446 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2023, Mar 30, 2021 (2 updates tracked since 2021).

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About Dr. Kourtney T. Vaillancourt Ph.d, Lmft, Ladac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KOURTNEY T. VAILLANCOURT PH.D, LMFT, LADAC (NPI 1003009432) is an individual marriage & family therapist in Las Cruces, New Mexico, licensed in New Mexico (0109041) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003009432

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameDR. KOURTNEY T. VAILLANCOURTCredential: PH.D, LMFT, LADAC

Location Address619 N ALAMEDA BLVDLas Cruces, NM 88005-2130

Mailing Address619 N Alameda BlvdLas Cruces, NM 88005-2130 · (575) 405-7146 · Fax (575) 405-5446

Phone(575) 405-7146

Fax(575) 405-5446

Sole ProprietorYes

Enumeration DateAugust 20, 2007

Last NPPES UpdateNovember 16, 20232 updates tracked since enumeration

NPPES CertifiedNovember 16, 2023

✔ NPI 1003009432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in NM · 0109041

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0109031 (NM)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0102221 (NM)

619 N ALAMEDA BLVD, Las Cruces, NM 88005

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Other Identifiers 1

Medicaid80302386NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kourtney T. Vaillancourt Ph.d, Lmft, Ladac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRABASCH ASSOCIATES LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))