Individual provider Active NPI

Katheryn Rose Barry, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1023343118
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2023-0590 Issued in NM
Practice address
4619 Greene St NW Ste C
Albuquerque, NM 87114-4899
Phone
(505) 899-9329
NPI assigned
Oct 8, 2009
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SWB-2023-0590 NM Primary
Clinical Social Worker 1041C0700X 2006008051 MO

Addresses

Primary practice location

4619 Greene St NW Ste C
Albuquerque, NM 87114-4899

Mailing address

905 Princeton Dr SE
Albuquerque, NM 87106-3034
Phone (505) 991-9669

Other practice location 1

905 Princeton Dr SE
Albuquerque, NM 87106-3034
Phone (505) 991-9669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230331002005 TX Practitioner - Clinical Social Worker 7517254550 Reassigns benefits to 2 organizations
I20241022003366 NM Practitioner - Clinical Social Worker 7517254550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Counseling LLCGroup PAC ID 7113391319, 4 clinicians

Practice addresses (Care Compare)

4619 Greene St NW
Suite C
Albuquerque, NM 87114-4899
Phone (505) 899-9329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWB-2023-0590NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Trails Counseling LLC CurrentSince Apr 15, 2026 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Santa Ana Health Center CurrentSince Dec 20, 2022 Accepting new patients
Albuquerque Indian Health Center CurrentSince Dec 20, 2022 Accepting new patients
Mindful Counseling LLC CurrentSince Oct 22, 2024 Accepting new patients
Advocates for a Healthy Community, Inc. Past Accepting new patients

Locations

4004 Carlisle Blvd NE
Ste Q
Albuquerque, NM 87107
Phone (505) 604-2633

4619 Greene St NW
Ste C
Albuquerque, NM 87114
Phone (505) 899-9329

801 Vassar Dr NE
Albuquerque, NM 87106
Phone (505) 248-4000

2 Dove Rd
#C
Bernalillo, NM 87004
Phone (505) 867-2497

Interoperability endpoints

  • Direct secure messaging: katherynbarry@tdh.allscriptsdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1023343118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 PRINCETON DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871063034",
            "telephone_number": "505-991-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 GREENE ST NW STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144899",
            "telephone_number": "505-899-9329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Princeton Dr SE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871063034",
            "country_code": "US",
            "telephone_number": "505-991-9669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRY",
        "first_name": "KATHERYN",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-08",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2023-0590",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2006008051",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.