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MS. CORTNY M STARK MA, LPCC, LADAC, CRC
NPI 1104176148
Counselor - Professional in Rio Rancho, NM

Active since September 18, 2012PECOS Enrolled
1316 JACKIE RD SE STE 900, RIO RANCHO, NM 87124(505) 289-1042 Get Directions Write a Review

NPPES record last updated: August 30, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Cortny M Stark Ma, Lpcc, Ladac, Crc NPPES

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

MS. CORTNY M STARK MA, LPCC, LADAC, CRC (NPI 1104176148) is an individual professional provider in Rio Rancho, New Mexico, licensed in New Mexico (CCMH0198781) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1104176148
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. CORTNY M STARKCredential: MA, LPCC, LADAC, CRC
Location Address1316 JACKIE RD SE STE 900Rio Rancho, NM 87124
Mailing Address2605 Inca Rd NeRio Rancho, NM 87144-7558 · (505) 452-7635
Phone(505) 289-1042
Sole ProprietorNo
Enumeration DateSeptember 18, 2012
Last NPPES UpdateAugust 30, 2018
✔ NPI 1104176148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NM · CCMH0198781
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CAD0171001 (NM)
Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X · License 00165351 (NM)
1316 JACKIE RD SE STE 900, Rio Rancho, NM 87124
Open in Google Maps ↗

Secondary Practice Location 1

Location 1123 Madeira Dr SEAlbuquerque, NM 87108-2963 · Phone (505) 262-1538 · Fax (505) 243-5342

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Cortny M Stark Ma, Lpcc, Ladac, Crc 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.

Medicare Billing Reassignment

Medicare enrollment records show Cortny Stark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trauma Treatment Center LLC
Same address
Community/Behavioral Health
1316 JACKIE RD SE STE 900
Rio Rancho, NM 87124
  • Reassigned Medicare billing, New Mexico enrollment
  • 5 clinicians in this Medicare group
NPI 1427567486 (505) 289-1042

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

SOWMYA MONJU
Social Worker
1316 JACKIE RD SE STE 900
RIO RANCHO, NM 87124
Sandoval County (505) 404-9892
WESTSIDE FAMILY MEDICINE
Family Medicine
1316 JACKIE RD SE STE 900
RIO RANCHO, NM 87124
Sandoval County (505) 892-7518
CHARLOTTE EBNER
Counselor (Mental Health)
1316 JACKIE RD SE STE 900
RIO RANCHO, NM 87124
Sandoval County (505) 404-9892
MARGARET ARCHULETA LMHC
Counselor (Mental Health)
1316 JACKIE RD SE STE 900
RIO RANCHO, NM 87124
Sandoval County (505) 289-1042
KRISTY R HAWTHRONE OTA
Occupational Therapy Assistant
1316 JACKIE RD SE STE 900
RIO RANCHO, NM 87124
Sandoval County (505) 289-1042
SARAH RENEE MCMILLAN OTR/L
Occupational Therapist
1316 JACKIE RD SE STE 900
RIO RANCHO, NM 87124
Sandoval County (505) 466-5895
SARAH AYOUB
Social Worker
1316 JACKIE RD SE STE 900
RIO RANCHO, NM 87124
Sandoval County (505) 404-9892
AMANDA PATRICE OTERO LMSW
Social Worker
1316 JACKIE RD SE STE 900
RIO RANCHO, NM 87124
Sandoval County (505) 289-1042

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 Cortny Stark's NPI number?

The NPI number for Cortny Stark is 1104176148. It was assigned to this individual provider in the NPPES registry on September 18, 2012.

Where is Cortny Stark located?

Cortny Stark practices at 1316 Jackie Rd SE Ste 900, Rio Rancho, NM 87124. The listed phone number is (505) 289-1042.

What is Cortny Stark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Cortny Stark enrolled in Medicare?

Yes. Cortny Stark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cortny Stark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cortny Stark reassigns Medicare benefits to Trauma Treatment Center LLC (Rio Rancho, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cortny Stark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Cortny Stark was last updated on August 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.