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MIKAELA IVY-KIAN ADAIS ADDAMS
NPI 1346007069
Counselor - Professional in Portales, NM

Active since February 29, 2024PECOS Enrolled
212 N INDIO AVE, PORTALES, NM 88130(505) 690-0588 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mikaela Ivy-kian Adais Addams NPPES

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

MIKAELA IVY-KIAN ADAIS ADDAMS (NPI 1346007069) is an individual professional provider in Portales, New Mexico, licensed in New Mexico (CTB-2023-0693) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1346007069
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMIKAELA IVY-KIAN ADAIS ADDAMS
Location Address212 N INDIO AVEPortales, NM 88130-5634
Mailing Address212 N Indio AvePortales, NM 88130-5634 · (505) 690-0588
Phone(505) 690-0588
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 29, 2024
Last NPPES UpdateJune 1, 2026
NPPES CertifiedJune 1, 2026
✔ NPI 1346007069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NM · CTB-2023-0693
212 N INDIO AVE, Portales, NM 88130
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mikaela Ivy-kian Adais Addams is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709383409
PECOS Enrollment IDI20251110000039
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.

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 Mikaela Adais Addams's NPI number?

The NPI number for Mikaela Adais Addams is 1346007069. It was assigned to this individual provider in the NPPES registry on February 29, 2024.

Where is Mikaela Adais Addams located?

Mikaela Adais Addams practices at 212 N Indio Ave, Portales, NM 88130. The listed phone number is (505) 690-0588.

What is Mikaela Adais Addams's specialty?

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

Is Mikaela Adais Addams enrolled in Medicare?

Yes. Mikaela Adais Addams is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mikaela Adais Addams was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.