Kristin Lichtle, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CTB-2023-0733 Issued in NM

Practice address

4004 Carlisle Blvd NE Ste G
Albuquerque, NM 87107-4566

Phone

(505) 588-8207

NPI assigned

Nov 22, 2013

Last updated

Jul 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• The Healing Place Mental Health Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Albuquerque, NM
  • NPI 1487166880
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1043640493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 MONTGOMERY BLVD NE APT 121",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091007",
            "telephone_number": "505-588-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 CARLISLE BLVD NE STE G",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074566",
            "telephone_number": "505-588-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHTLE",
        "first_name": "KRISTIN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2023-0733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty New Mexico Partners 2, LLC (Liberty Dialysis - Rio Rancho)
• Emilie Gail Libson, AA-C
• Jorge Licano, MD
• Rosanne Marie Licata, LPC
• Annette J Licht, RN
• Abraham Lichtmacher, MD
• Heather Rosa Licini
• Vanessa D Licona Sanjuan, MD
• Jonas Lieb
• Lyndon L. Liebelt, D.D.S.

• Professional Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.