Individual provider Active NPI

Maria Porinchak, LMHC (NY), LPCC (NM)

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1063746436
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
007820 Issued in NY
Practice address
3212 Monte Vista Blvd NE
Albuquerque, NM 87106-2120
Phone
(646) 820-3740
NPI assigned
Oct 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CTB-2022-0766 NM
Mental Health Counselor 101YM0800X 007820 NY Primary

Addresses

Primary practice location

3212 Monte Vista Blvd NE
Albuquerque, NM 87106-2120

Mailing address

206 Edith Blvd NE
Albuquerque, NM 87102-3526
Phone (202) 344-6733

Other identifiers 1

IdentifierTypeStateIssuer
71750274MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250707000906 NM Practitioner - Mental Health Counselor 6406360114 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007820NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bonni Amsden Mental Health CurrentSince Jan 1, 2026 Accepting new patients

Locations

3212 Monte Vista Blvd NE
Albuquerque, NM 87106
Phone (505) 266-0388

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1063746436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 EDITH BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023526",
            "telephone_number": "202-344-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 MONTE VISTA BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062120",
            "telephone_number": "646-820-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORINCHAK",
        "first_name": "MARIA",
        "credential": "LMHC (NY), LPCC (NM)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2022-0766",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "007820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71750274",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.