Active NPI
Paul Condes
- Mental Health Counselor
- Albuquerque, NM
National Provider Identifier
1053622845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- M-07952
- Practice address
- 9201 Reba Ave SW
Albuquerque, NM 87121-9001 - Phone
- (505) 550-3687
- NPI assigned
- Jun 25, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | M-07952 | NM | Primary |
Addresses
Primary practice location
9201 Reba Ave SW
Albuquerque, NM 87121-9001
Mailing address
9201 Reba Ave SW
Albuquerque, NM 87121-9001
Phone (505) 550-3687
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 |
|---|---|---|---|
| M-07952 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1053622845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9201 REBA AVE SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871219001",
"telephone_number": "505-550-3687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9201 REBA AVE SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871219001",
"telephone_number": "505-550-3687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDES",
"first_name": "PAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-25",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "M-07952",
"primary": true
}
],
"identifiers": [],
"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, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.