MIKAELA IVY-KIAN ADAIS ADDAMS
NPI 1346007069
Counselor - Professional in Portales, NM
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mikaela Ivy-kian Adais Addams is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mikaela Adais Addams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Ranchos, NM 87107
- Reassigned Medicare billing, New Mexico enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Mikaela Adais Addams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mikaela Adais Addams reassigns Medicare benefits to Wild Magnolia Wellness (Los Ranchos, 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 Mikaela Adais Addams'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 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 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.
# Mikaela Ivy-Kian Adais Addams · NPI 1346007069
Professional provider in Portales, New Mexico. Individual provider, active in the CMS NPPES registry since February 29, 2024.
## Identity
- **NPI:** 1346007069 (Entity type: Individual)
- **Enumerated:** February 29, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** CTB-2023-0693 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 212 N INDIO AVE, Portales, NM 88130-5634
- **Phone:** (505) 690-0588
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Wild Magnolia Wellness (NPI 1255820205, Los Ranchos, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1346007069) · Data from the CMS NPPES public registry.