Individual provider Active NPI

Brittany Padilla, LSAA

  • Addiction (Substance Use Disorder) Counselor
  • Albuquerque, NM
National Provider Identifier
1023729498
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CSA0217261 Issued in NM
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

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
CSA0217261NMMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Krossroads Integrative Health and Recovery Solutions Inc CurrentSince Jan 28, 2024 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.

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.

Verify at the official NPI Registry.