Active NPI
Jonathan Hartshorne, M.DIV.
- Mental Health Counselor
- Albuquerque, NM
National Provider Identifier
1053379321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5699
- Practice address
- 3200 Carlisle Blvd NE
Suite 129
Albuquerque, NM 87110-1600 - Phone
- (505) 889-4921
- NPI assigned
- May 3, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5699 | NM | Primary |
Addresses
Primary practice location
3200 Carlisle Blvd NE
Suite 129
Albuquerque, NM 87110-1600
Mailing address
3200 Carlisle Blvd NE
Suite 129
Albuquerque, NM 87110-1600
Phone (505) 889-4921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01075772 | Medicaid | NM |
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 |
|---|---|---|---|
| 5699 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1053379321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 CARLISLE BLVD NE",
"address_2": "SUITE 129",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871101600",
"telephone_number": "505-889-4921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 CARLISLE BLVD NE",
"address_2": "SUITE 129",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871101600",
"telephone_number": "505-889-4921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTSHORNE",
"first_name": "JONATHAN",
"name_prefix": "Mr.",
"credential": "M.DIV.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "5699",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01075772",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.