Active NPI
Lost Continent Enterprises, LLC
- Community/Behavioral Health Agency
- Albuquerque, NM
National Provider Identifier
1053664599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 0069462
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902971666 | Other | NM | NPI |
Other names 1
- Raylah Etlantus, LPCC
National Provider Directory
National Provider DirectoryLocations
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.