Organization Active NPI

Dennis Abernathy Inc.

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1063539583
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1396 Issued in NM
Legal business name
DENNIS ABERNATHY INC.
Practice address
3200 Carlisle Blvd NE Ste 225
Albuquerque, NM 87110-1664
Phone
(505) 249-7779
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Mr. Dennis Brooks AbernathyNPI 1326384330
Title
Director
Phone
(505) 249-7779

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 1396 NM Primary

Addresses

Primary practice location

3200 Carlisle Blvd NE Ste 225
Albuquerque, NM 87110-1664

Mailing address

8528 Palomar Ave NE
Albuquerque, NM 87109-7200
Phone (505) 856-0191

Other practice location 1

8528 Palomar Ave NE
Albuquerque, NM 87109-7200
Phone (505) 856-0191

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240927002041 NM Part B Supplier - Clinic/Group Practice 0648701912 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

3200 Carlisle Blvd NE
Ste 225
Albuquerque, NM 87110
Phone (505) 249-7779

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1063539583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8528 PALOMAR AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871097200",
            "telephone_number": "505-856-0191",
            "fax_number": "505-858-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CARLISLE BLVD NE STE 225",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101664",
            "telephone_number": "505-249-7779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8528 Palomar Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871097200",
            "country_code": "US",
            "telephone_number": "505-856-0191",
            "fax_number": "505-858-2424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DENNIS ABERNATHY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "ABERNATHY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "BROOKS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-249-7779",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "1396",
            "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 Feb 20, 2024; 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.