Individual provider Active NPI

Rhonda L Pruit, LPCC

  • Counselor
  • Albuquerque, NM
National Provider Identifier
1023027612
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LMHC - 0089311 Issued in NM
Practice address
2403 San Mateo Blvd NE
Suite S-14
Albuquerque, NM 87110-4058
Phone
(505) 830-6500
Fax
(505) 830-6527
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0129901 NM
Counselor 101Y00000X LMHC - 0089311 NM Primary

Addresses

Primary practice location

2403 San Mateo Blvd NE
Suite S-14
Albuquerque, NM 87110-4058

Mailing address

2403 San Mateo Blvd NE
Suite S-14
Albuquerque, NM 87110-4058
Phone (505) 830-6500

Other identifiers 1

IdentifierTypeStateIssuer
39450317MedicaidNM

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

LicenseStateTypeSpecialty
LMHC - 0089311NMMDCounselor
0129901NMMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1023027612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 SAN MATEO BLVD NE",
            "address_2": "SUITE S-14",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104058",
            "telephone_number": "505-830-6500",
            "fax_number": "505-830-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 SAN MATEO BLVD NE",
            "address_2": "SUITE S-14",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104058",
            "telephone_number": "505-830-6500",
            "fax_number": "505-830-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUIT",
        "first_name": "RHONDA",
        "middle_name": "L",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0129901",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "LMHC - 0089311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39450317",
            "state": "NM"
        }
    ],
    "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 Jun 10, 2011; 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.