Active NPI
Brittany Padilla, LSAA
- Addiction (Substance Use Disorder) Counselor
- Albuquerque, NM
National Provider Identifier
1023729498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CSA0217261
- Practice address
- 400 Gold Ave SW
Albuquerque, NM 87102-3283 - Phone
- (505) 715-4610
- NPI assigned
- Dec 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CSA0217261 | NM | Primary |
Addresses
Primary practice location
400 Gold Ave SW
Albuquerque, NM 87102-3283
Mailing address
815 Frederico Blvd
Rio Communities, NM 87002-7054
Phone (505) 916-7201
Other practice location 1
2443 State Highway 47
Belen, NM 87002-5930
Phone (505) 861-2066
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
| License | State | Type | Specialty |
|---|---|---|---|
| CSA0217261 | NM | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krossroads Integrative Health and Recovery Solutions Inc | Current | Accepting new patients |
Locations
400 Gold Ave SW
Albuquerque, NM 87102
Phone (505) 224-9124
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albuquerque, NM
- NPI 1891376125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1023729498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 FREDERICO BLVD",
"city": "RIO COMMUNITIES",
"state": "NM",
"postal_code": "870027054",
"telephone_number": "505-916-7201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 GOLD AVE SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871023283",
"telephone_number": "505-715-4610"
}
],
"practiceLocations": [
{
"address_1": "2443 State Highway 47",
"address_purpose": "LOCATION",
"city": "Belen",
"state": "NM",
"postal_code": "870025930",
"country_code": "US",
"telephone_number": "505-861-2066",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PADILLA",
"first_name": "BRITTANY",
"credential": "LSAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-07",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "CSA0217261",
"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 Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.