Individual provider Active NPI

Anthony Wayne Maulden, BS

  • Counselor
  • Albuquerque, NM
National Provider Identifier
1023210713
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
8401 Constitution Ave NE Ste 215
Albuquerque, NM 87110-7604
Phone
(505) 382-5720
Fax
(505) 271-4957
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Counselor 101Y00000X Primary

Addresses

Primary practice location

8401 Constitution Ave NE Ste 215
Albuquerque, NM 87110-7604

Mailing address

8401 Constitution Ave NE
Albuquerque, NM 87110-7604
Phone (505) 382-5720

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
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Unica CurrentSince May 16, 2024 Accepting new patients

Locations

8401 Constitution Ave NE
Ste 215
Albuquerque, NM 87110
Phone (505) 382-5720

8401 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 271-0329

Organizations & group practices 1

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1023210713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 CONSTITUTION AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107604",
            "telephone_number": "505-382-5720",
            "fax_number": "505-271-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 CONSTITUTION AVE NE STE 215",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107604",
            "telephone_number": "505-382-5720",
            "fax_number": "505-271-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULDEN",
        "first_name": "ANTHONY",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "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 Sep 10, 2021; 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.