NPIMap

Organization Active NPI

Solamente Holistic Health

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1003441015
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SOLAMENTE HOLISTIC HEALTH
Practice address
833 Lomas Blvd NW
Albuquerque, NM 87102-1955
Phone
(505) 243-6353
NPI assigned
Mar 10, 2020
Last updated
Mar 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Authorized official

Name
Elisharose TrujilloNPI 1114219904
Title
Member
Phone
(505) 243-6353

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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

833 Lomas Blvd NW
Albuquerque, NM 87102-1955

Mailing address

833 Lomas Blvd NW
Albuquerque, NM 87102-1955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250827001309 NM Part B Supplier - Clinic/Group Practice 6901307545 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

807 4th St SW
Albuquerque, NM 87102
Phone (505) 247-7492

833 Lomas Blvd NW
Albuquerque, NM 87102
Phone (505) 247-7492

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1003441015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 LOMAS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 LOMAS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021955",
            "telephone_number": "505-243-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLAMENTE HOLISTIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "ELISHAROSE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "505-243-6353"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "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 Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.