Active NPI
Katheryn Rose Barry, LCSW
- Clinical Social Worker
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SWB-2023-0590
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| SWB-2023-0590 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Happy Trails Counseling LLC | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Santa Ana Health Center | Current | Accepting new patients | |
| Albuquerque Indian Health Center | Current | Accepting new patients | |
| Mindful Counseling LLC | Current | 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
- 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.
-
- Mental Health Counselor
- Albuquerque, NM
- NPI 1154279859
-
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1831420876
-
dba Jordan Valley Community Health Center
- Federally Qualified Health Center (FQHC)
- Springfield, MO
- NPI 1366575573
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.