Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mikaela Ivy-Kian Adais Addams

Individual provider Professional Counselor · NPI 1346007069

Mikaela Ivy-Kian Adais Addams is a Mental Health Counselor in Portales, New Mexico. Qualified in 2021, 5 years ago. Licensed in New Mexico.

Years since qualifying
5
Licensed in
NM
In the registry since
2024
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Practice location Address checks out

212 N Indio Ave
Portales, NM 88130-5634
Phone: (505) 690-0588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CTB-2023-0693 (NM)

Record details

NPI number1346007069
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 29, 2024
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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