JASON WAYNE WYATT LPCC
NPI 1760780241
Counselor - Professional in Las Cruces, NM

Active since March 07, 2011
1705 N VALLEY DR STE 12, LAS CRUCES, NM 88007(575) 642-5544 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2021, Mar 26, 2018 (2 updates tracked since 2018).

About Jason Wayne Wyatt Lpcc NPPES

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

JASON WAYNE WYATT LPCC (NPI 1760780241) is an individual professional provider in Las Cruces, New Mexico, licensed in New Mexico (CCMH0175961) and active in the NPI registry since March 2011. He maintains a secondary practice location in Las Cruces.

NPPES Registry Identity

NPI1760780241
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJASON WAYNE WYATTCredential: LPCC
Location Address1705 N VALLEY DR STE 12Las Cruces, NM 88007-5121
Mailing AddressPo Box 375Fairacres, NM 88033-0375 · (575) 642-5544
Sole ProprietorNo
Enumeration DateMarch 7, 2011
Last NPPES UpdateSeptember 7, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2021
NPI 1760780241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NM · CCMH0175961
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0134631 (NM)
1705 N VALLEY DR STE 12, Las Cruces, NM 88007

Secondary Practice Location 1

Location 110015 Robert LarsonLas Cruces, NM 88007-9005 · Phone (575) 526-5900

Other Identifiers 1

Medicaid18677037NM

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
1705 N VALLEY DR STE 12
LAS CRUCES, NM 88007

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 Jason Wyatt's NPI number?

The NPI number for Jason Wyatt is 1760780241. It was assigned to this individual provider in the NPPES registry on March 7, 2011.

Where is Jason Wyatt located?

Jason Wyatt practices at 1705 N Valley Dr Ste 12, Las Cruces, NM 88007. The listed phone number is (575) 642-5544.

What is Jason Wyatt's specialty?

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

When was this NPI record last updated?

The NPPES record for Jason Wyatt was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.