KRISTI CODDINGTON LCSW
NPI 1043865496
Counselor - Mental Health in Bloomfield, NM

Active since August 02, 2019PECOS EnrolledAccepts Medicare Assignment
100 N CHURCH ST STE B, BLOOMFIELD, NM 87413(505) 333-7219 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2021, Aug 2, 2019 (2 updates tracked since 2019).

About Kristi Coddington Lcsw NPPES

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

KRISTI CODDINGTON LCSW (NPI 1043865496) is an individual mental health provider in Bloomfield, New Mexico, licensed in New Mexico (X-11109) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1043865496
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTI CODDINGTONCredential: LCSW
Location Address100 N CHURCH ST STE BBloomfield, NM 87413-5754
Mailing Address504 N Church StBloomfield, NM 87413-5607 · (505) 402-1134
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 2, 2019
Last NPPES UpdateJanuary 8, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2021
NPI 1043865496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NM · X-11109
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License C-11409 (NM)
100 N CHURCH ST STE B, Bloomfield, NM 87413

Secondary Practice Locations 2

Location 1802 E Navajo StFarmington, NM 87401-9119 · Phone (505) 333-7219 · Fax (505) 333-7598
Location 21201 N 1st StBloomfield, NM 87413-5271 · Phone (505) 634-3500 · Fax (505) 634-3584

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kristi Coddington Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294141297
PECOS Enrollment IDI20210316002183
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 2

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

Social Worker (Clinical)
100 N CHURCH ST STE B
BLOOMFIELD, NM 87413
Social Worker (Clinical)
100 N CHURCH ST STE B
BLOOMFIELD, NM 87413

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristi Coddington's NPI number?

The NPI number for Kristi Coddington is 1043865496. It was assigned to this individual provider in the NPPES registry on August 2, 2019.

Where is Kristi Coddington located?

Kristi Coddington practices at 100 N Church St Ste B, Bloomfield, NM 87413. The listed phone number is (505) 333-7219.

What is Kristi Coddington's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kristi Coddington enrolled in Medicare?

Yes. Kristi Coddington is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kristi Coddington was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.