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CARLY BRACK MARKETTO
NPI 1104289966
Marriage & Family Therapist in Las Cruces, NM

Active since March 30, 2016PECOS EnrolledAccepts Medicare Assignment
390 CALLE DE ALEGRA STE C, LAS CRUCES, NM 88005(575) 222-4588 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2026, Mar 30, 2016 (2 updates tracked since 2016).

About Carly Brack Marketto NPPES

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

CARLY BRACK MARKETTO (NPI 1104289966) is an individual marriage & family therapist in Las Cruces, New Mexico, licensed in New Mexico (CTB20220194) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104289966
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCARLY BRACK MARKETTO
Location Address390 CALLE DE ALEGRA STE CLas Cruces, NM 88005-3280
Mailing Address3100 Oak StLas Cruces, NM 88005-3769 · (575) 523-2288 · Fax (575) 523-2299
Phone(575) 222-4588
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 30, 2016
Last NPPES UpdateJune 24, 20262 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1104289966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in NM · CTB20220194
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.
390 CALLE DE ALEGRA STE C, Las Cruces, NM 88005
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Other Names 1

Former Name (1)Carly Brack

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

Carly Brack Marketto 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 ID8921579640
PECOS Enrollment IDI20260603003648
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 Carly Brack Marketto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Amistad Family Services Inc
0.9 mi
Community/Behavioral Health
3100 OAK ST
Las Cruces, NM 88005
  • Reassigned Medicare billing, New Mexico enrollment
  • 10 clinicians in this Medicare group
NPI 1558654483 (575) 523-2288

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 7

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

LILLIAN R JIMENEZ
Counselor (Mental Health)
390 CALLE DE ALEGRA STE C
LAS CRUCES, NM 88005
Doña Ana County (575) 222-4588
ROBIN GIBBS OT
Occupational Therapist
390 CALLE DE ALEGRA STE C
LAS CRUCES, NM 88005
Doña Ana County (575) 222-4589
TIANNA ZAMBRANO SLP
Speech-Language Pathologist
390 CALLE DE ALEGRA STE C
LAS CRUCES, NM 88005
Doña Ana County (575) 635-4778
JESSICA HOXWORTH
Social Worker
390 CALLE DE ALEGRA STE C
LAS CRUCES, NM 88005
Doña Ana County (575) 222-4588
SAMANTHA HANK LMSW
Social Worker
390 CALLE DE ALEGRA STE C
LAS CRUCES, NM 88005
Doña Ana County (575) 222-4588
YVONNE MARIE LEMONS
Social Worker
390 CALLE DE ALEGRA STE C
LAS CRUCES, NM 88005
Doña Ana County (575) 222-4588
ANISSA WRIGHT
Social Worker
390 CALLE DE ALEGRA STE C
LAS CRUCES, NM 88005
Doña Ana County (575) 523-2288

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 Carly Brack Marketto's NPI number?

The NPI number for Carly Brack Marketto is 1104289966. It was assigned to this individual provider in the NPPES registry on March 30, 2016. The provider is also known as Carly Brack.

Where is Carly Brack Marketto located?

Carly Brack Marketto practices at 390 Calle De Alegra Ste C, Las Cruces, NM 88005. The listed phone number is (575) 222-4588.

What is Carly Brack Marketto's specialty?

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

Is Carly Brack Marketto enrolled in Medicare?

Yes. Carly Brack Marketto 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 Carly Brack Marketto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Brack Marketto reassigns Medicare benefits to Amistad Family Services Inc (Las Cruces, 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 Carly Brack Marketto'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 Carly Brack Marketto was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.