Broken Arrow Counseling Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BROKEN ARROW COUNSELING SERVICES

Practice address

840 Simon LN SW
Albuquerque, NM 87105-5908

Phone

(505) 818-7934

NPI assigned

Sep 13, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel William Ross, LCSW

Title

President

Phone

(505) 818-7934

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506384000000",
    "number": "1003335894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 MESA PRIETA CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204620",
            "telephone_number": "505-818-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SIMON LN SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871055908",
            "telephone_number": "505-818-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROKEN ARROW COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-26",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-818-7934",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy M Brockman
• Elisabeth Brodersen, R.N.
• Adrienne Brogdon, LMT
• Linda Brohman, RN
• Jami J Brokaw, CPT
• Julie Brokmeyer
• Laura E Bronikowski
• Ronald W Bronitsky, MD
• Bronson Elliott Counseling LLC
• Linda Bronson-Wood, LPCC

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.