Individual provider Active NPI

Douglas Byron Thigpen, M.A.

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1003375817
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0225461 Issued in NM
Practice address
2551 Coors Blvd NW
Albuquerque, NM 87120-1213
Phone
(505) 833-2300
NPI assigned
Mar 19, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X T-CTL0202461 NM
Professional Counselor 101YP2500X CCMH0225461 NM Primary

Addresses

Primary practice location

2551 Coors Blvd NW
Albuquerque, NM 87120-1213

Mailing address

214 Cornell Dr SE Apt B
Albuquerque, NM 87106-5518
Phone (575) 937-1730

Other identifiers 1

IdentifierTypeStateIssuer
3332843292MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204003113 NM Practitioner - Mental Health Counselor 9638605314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GD Psych Services, LLCGroup PAC ID 6204260474, 18 clinicians

Practice addresses (Care Compare)

Rio Rancho, NM 87144
Phone (575) 937-1730

2200 Grande Blvd SE
Suite B
Rio Rancho, NM 87124-1695
Phone (505) 218-6383

2200 Grande Blvd SE B
Rio Rancho, NM 87124-1695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
T-CTL0202461NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
GD Psych Services, LLC Mental Health CurrentSince Nov 5, 2024 Accepting new patients
Find Your Path, LLC Mental Health CurrentSince Feb 20, 2025 Accepting new patients

Locations

2200 Grande Blvd SE
Ste B
Rio Rancho, NM 87124
Phone (505) 218-6383

918 Pinehurst Rd SE
Ste 101
Rio Rancho, NM 87124
Phone (505) 891-1813

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003375817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 CORNELL DR SE APT B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871065518",
            "telephone_number": "575-937-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 COORS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201213",
            "telephone_number": "505-833-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIGPEN",
        "first_name": "DOUGLAS",
        "middle_name": "BYRON",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-CTL0202461",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0225461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3332843292",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.