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THERESA ORTIZ LMSW
NPI 1104236694
Counselor - Mental Health in Bernalillo, NM

Active since May 06, 2014PECOS EnrolledAccepts Medicare Assignment
1043 HIGHWAY 313, BERNALILLO, NM 87004(505) 867-3351(505) 867-3514 Get Directions Write a Review

NPPES record last updated: May 6, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Theresa Ortiz Lmsw NPPES

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

THERESA ORTIZ LMSW (NPI 1104236694) is an individual mental health provider in Bernalillo, New Mexico, licensed in New Mexico (M-08152) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1104236694
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTHERESA ORTIZCredential: LMSW
Location Address1043 HIGHWAY 313Bernalillo, NM 87004-6912
Mailing Address10619 Virgo St NwAlbuquerque, NM 87114-3661 · (505) 366-4942
Phone(505) 867-3351
Fax(505) 867-3514
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMay 6, 2014
✔ NPI 1104236694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NM · M-08152
1043 HIGHWAY 313, Bernalillo, NM 87004
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa Ortiz Lmsw 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 ID7719423128
PECOS Enrollment IDI20240722003135
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 Theresa Ortiz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pueblo Of Isleta
29 mi
Clinic/Center
01 SAGEBRUSH
Isleta, NM 87022
  • Reassigned Medicare billing, New Mexico enrollment
  • 24 clinicians in this Medicare group
NPI 1194738328 (505) 869-3200

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 3

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

MISS REGINA KEESWOOD
Student in an Organized Health Care Education/Training Program
1043 HIGHWAY 313
BERNALILLO, NM 87004
Sandoval County (505) 867-3351
MS. DIANE HELEN WILHOITE MA, LPCC
Counselor (Mental Health)
1043 HIGHWAY 313
BERNALILLO, NM 87004
Sandoval County (505) 771-5384
MS. DOROTHY A. CORIZ LADAC
Counselor (Addiction (Substance Use Disorder))
1043 HIGHWAY 313
BERNALILLO, NM 87004
Sandoval County (505) 867-3351

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 Theresa Ortiz's NPI number?

The NPI number for Theresa Ortiz is 1104236694. It was assigned to this individual provider in the NPPES registry on May 6, 2014.

Where is Theresa Ortiz located?

Theresa Ortiz practices at 1043 Highway 313, Bernalillo, NM 87004. The listed phone number is (505) 867-3351.

What is Theresa Ortiz's specialty?

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

Is Theresa Ortiz enrolled in Medicare?

Yes. Theresa Ortiz 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.

Which organization bills Medicare for Theresa Ortiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Ortiz reassigns Medicare benefits to Pueblo Of Isleta (Isleta, 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 Theresa Ortiz'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 Theresa Ortiz was last updated on May 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.