Individual provider Active NPI

Renee Brittany Benavidez, LPCC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1013316728
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CCMH0208211 Issued in NM
Practice address
2201 San Pedro Dr NE Ste 100
Albuquerque, NM 87110-4133
Phone
(505) 503-1811
Fax
(505) 639-4309
NPI assigned
Aug 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CCMH0208211 NM Primary

Addresses

Primary practice location

2201 San Pedro Dr NE Ste 100
Albuquerque, NM 87110-4133

Mailing address

4800 San Mateo LN NE Apt 202
Albuquerque, NM 87109-2401
Phone (505) 506-7234

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
I20240315000321 NM Practitioner - Mental Health Counselor 9133577927

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1209 Mountain Rd PL NE
Suite 11664
Albuquerque, NM 87110-7825

3003 Adams St NE
Apt J13
Albuquerque, NM 87110-8004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
One Place Counseling Mental Health Current Accepting new patients
Three Hearts Therapy LLC CurrentSince Feb 3, 2024 Accepting new patients
Rapha Provider Agency LLC PastSince Jul 1, 2022 Accepting new patients
Human Resource Development Associates, Inc. Mental Health PastSince Sep 21, 2019 Accepting new patients

Locations

2201 San Pedro Dr NE
Ste 100
Albuquerque, NM 87110
Phone (505) 450-5475

7011 Prospect Pl NE
Albuquerque, NM 87110
Phone (505) 718-5716

2201 San Pedro Dr NE
Bldg 2-100
Albuquerque, NM 87110
Phone (505) 503-1811

Organizations & group practices 4

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": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1013316728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 SAN MATEO LN NE APT 202",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092401",
            "telephone_number": "505-506-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 SAN PEDRO DR NE STE 100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104133",
            "telephone_number": "505-503-1811",
            "fax_number": "505-639-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDEZ",
        "first_name": "RENEE",
        "middle_name": "BRITTANY",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH0208211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.