Active NPI
Craig James Salisbury, LPCC
- Professional Counselor
- Albuquerque, NM
National Provider Identifier
1053599050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0193481
- Practice address
- 7850 Jefferson St NE Ste 300
Albuquerque, NM 87109-4314 - Phone
- (505) 226-2839
- NPI assigned
- Feb 1, 2008
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0193481 | NM | Primary |
Addresses
Primary practice location
7850 Jefferson St NE Ste 300
Albuquerque, NM 87109-4314
Mailing address
3526 Covered Wagon Rd NE
Rio Rancho, NM 87144-1457
Phone (505) 609-9036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68932260 | Medicaid | NM |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0193481 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Neuroscience Center Inc | Current | Accepting new patients | |
| Cottonwood Counseling, LLC | Professional | Past | Accepting new patients |
Locations
7850 Jefferson St NE
Ste 300
Albuquerque, NM 87109
Phone (505) 884-1114
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Albuquerque, NM
- NPI 1578644415
-
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1518453968
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1053599050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3526 COVERED WAGON RD NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871441457",
"telephone_number": "505-609-9036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7850 JEFFERSON ST NE STE 300",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094314",
"telephone_number": "505-226-2839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALISBURY",
"first_name": "CRAIG",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-01",
"last_updated": "2024-07-30",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0193481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "68932260",
"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 30, 2024; 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.