Active NPI
Lotus Behavioral Health LLC
- Social Worker
- Albuquerque, NM
National Provider Identifier
1003220401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- LOTUS BEHAVIORAL HEALTH LLC
- Practice address
- 4010 Carlisle Blvd NE
Albuquerque, NM 87107-4532 - Phone
- (401) 954-1397
- NPI assigned
- Jun 13, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Molly Leigh Mazer, LISW
- Title
- Owner
- Phone
- (401) 954-1397
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
4010 Carlisle Blvd NE
Albuquerque, NM 87107-4532
Mailing address
1414 Cornell Dr NE
Albuquerque, NM 87106-3702
Phone (401) 954-1397
National Provider Directory
National Provider DirectoryLocations
4010 Carlisle Blvd NE
Albuquerque, NM 87107
Phone (505) 226-4624
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Albuquerque, NM
- NPI 1326392796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738108800000",
"number": "1003220401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 CORNELL DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871063702",
"telephone_number": "401-954-1397",
"fax_number": "505-200-2177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 CARLISLE BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871074532",
"telephone_number": "401-954-1397"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOTUS BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-13",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A",
"authorized_official_last_name": "MAZER",
"authorized_official_first_name": "MOLLY",
"authorized_official_middle_name": "LEIGH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "401-954-1397",
"authorized_official_credential": "LISW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.