Organization Active NPI

Whiteowl Services, Inc.

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1063429157
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
006002 Issued in NM
Legal business name
WHITEOWL SERVICES, INC.
Practice address
3300 Vista del Sur St NW
Albuquerque, NM 87120-1546
Phone
(505) 450-9271
Fax
(505) 873-8489
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ina KriebleNPI 1770627192
Title
President
Phone
(505) 450-9271

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 006002 NM Primary

Addresses

Primary practice location

3300 Vista del Sur St NW
Albuquerque, NM 87120-1546

Mailing address

3300 Vista del Sur St NW
Albuquerque, NM 87120-1546
Phone (505) 450-9271

Other identifiers 2

IdentifierTypeStateIssuer
89709004MedicaidNM
37481541MedicaidNM

Other names 1

  • Ina Krieble Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241018003596 NM Part B Supplier - Clinic/Group Practice 1759723414 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063429157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 VISTA DEL SUR ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201546",
            "telephone_number": "505-450-9271",
            "fax_number": "505-873-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 VISTA DEL SUR ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201546",
            "telephone_number": "505-450-9271",
            "fax_number": "505-873-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEOWL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRIEBLE",
        "authorized_official_first_name": "INA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-450-9271"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "006002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89709004",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37481541",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ina Krieble",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.