Active NPI
Amy Brown, LMHC
- Mental Health Counselor
- Albuquerque, NM
National Provider Identifier
1013315399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0176461
- Practice address
- 707 Broadway Blvd. NE
Suite 500
Albuquerque, NM 87114 - Phone
- (505) 268-0701
- Fax
- (505) 232-9055
- NPI assigned
- Dec 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0176461 | NM | Primary |
Addresses
Primary practice location
707 Broadway Blvd. NE
Suite 500
Albuquerque, NM 87114
Mailing address
707 Broadway Blvd. NE
Albuquerque, NM 87114
Phone (505) 268-0701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0176461 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461196800000",
"number": "1013315399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 BROADWAY BLVD. NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87114",
"telephone_number": "505-268-0701",
"fax_number": "505-232-9055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 BROADWAY BLVD. NE",
"address_2": "SUITE 500",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87114",
"telephone_number": "505-268-0701",
"fax_number": "505-232-9055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "AMY",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-18",
"last_updated": "2016-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0176461",
"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 Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.