Organization Active NPI

Pathfinder Visions, Inc.

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1043378227
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
93501 Issued in NM
Legal business name
PATHFINDER VISIONS, INC.
Practice address
107 Bryn Mawr Dr SE
Albuquerque, NM 87106-2206
Phone
(505) 681-0708
Fax
(888) 910-5156
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Ms. Lydia S Lennihan, LPCCNPI 1821164518
Title
Owner
Phone
(505) 681-0708

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 93501 NM Primary

Addresses

Primary practice location

107 Bryn Mawr Dr SE
Albuquerque, NM 87106-2206

Mailing address

424 Bryn Mawr Dr SE
Albuquerque, NM 87106-2206
Phone (505) 681-0708

Other identifiers 1

IdentifierTypeStateIssuer
65873874MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240508004091 NM Part B Supplier - Clinic/Group Practice 9335580307 Receives reassigned benefits from 2 practitioners
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

107 Bryn Mawr Dr SE
Albuquerque, NM 87106
Phone (505) 681-0708

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1043378227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 BRYN MAWR DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062206",
            "telephone_number": "505-681-0708",
            "fax_number": "888-910-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BRYN MAWR DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062206",
            "telephone_number": "505-681-0708",
            "fax_number": "888-910-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHFINDER VISIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "LENNIHAN",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-681-0708",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "93501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65873874",
            "state": "NM"
        }
    ],
    "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 Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.