Organization Active NPI

Lost Continent Enterprises, LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1053664599
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0069462 Issued in NM
Legal business name
LOST CONTINENT ENTERPRISES, LLC
Practice address
4701 Montano Rd NW
Suite 102
Albuquerque, NM 87120-2427
Phone
(505) 385-6364
NPI assigned
Oct 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Authorized official

Name
Raylah Etlantus, LPCC
Title
Owner
Phone
(505) 385-6364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0069462 NM Primary

Addresses

Primary practice location

4701 Montano Rd NW
Suite 102
Albuquerque, NM 87120-2427

Mailing address

PO Box 2563
Corrales, NM 87048-2563
Phone (505) 385-6364

Other identifiers 1

IdentifierTypeStateIssuer
1902971666OtherNMNPI

Other names 1

  • Raylah Etlantus, LPCC Doing business as

National Provider Directory

National Provider Directory

Locations

4701 Montano Rd NW
Ste 102
Albuquerque, NM 87120
Phone (505) 350-8452

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1053664599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2563",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870482563",
            "telephone_number": "505-385-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 MONTANO RD NW",
            "address_2": "SUITE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202427",
            "telephone_number": "505-385-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOST CONTINENT ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "ETLANTUS",
        "authorized_official_first_name": "RAYLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-385-6364",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0069462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902971666",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raylah Etlantus, LPCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.