Individual provider Active NPI

Laurie Dewhurst, LPCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1033530928
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0186371 Issued in NM
Practice address
2920 Carlisle Blvd NE Ste 123H
Albuquerque, NM 87110-2884
Phone
(505) 903-8480
Fax
(505) 878-9999
NPI assigned
Dec 19, 2013
Last updated
May 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0186371 NM Primary
Mental Health Counselor 101YM0800X 0162181 NM
Mental Health Counselor 101YM0800X 0186371 NM

Addresses

Primary practice location

2920 Carlisle Blvd NE Ste 123H
Albuquerque, NM 87110-2884

Mailing address

PO Box 16272
Albuquerque, NM 87191-6272
Phone (505) 903-8480

Other practice location 1

2551 Coors Blvd NW
Albuquerque, NM 87120-1213
Phone (505) 338-3320

Other identifiers 1

IdentifierTypeStateIssuer
03129268MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240215001043 NM Practitioner - Mental Health Counselor 1052762903 Practice locations: Albuquerque, NM

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5808 McLeod Rd NE
Suite L
Albuquerque, NM 87109-2468
Phone (505) 903-8436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0162181NMMDMental Health Counselor
0186371NMMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1033530928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16272",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871916272",
            "telephone_number": "505-903-8480",
            "fax_number": "505-878-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 CARLISLE BLVD NE STE 123H",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871102884",
            "telephone_number": "505-903-8480",
            "fax_number": "505-878-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2551 Coors Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871201213",
            "country_code": "US",
            "telephone_number": "505-338-3320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWHURST",
        "first_name": "LAURIE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-19",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0186371",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0162181",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0186371",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03129268",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.