Active NPI
Enlightenment Counseling & Therapy
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1083185128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- ENLIGHTENMENT COUNSELING & THERAPY
- Practice address
- 3901 Georgia St NE Ste A4
Albuquerque, NM 87110-1391 - Phone
- (505) 710-5188
- NPI assigned
- Dec 16, 2018
- 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
- Mark Ortega, LCSW
- Title
- Owner
- Phone
- (505) 710-5188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3901 Georgia St NE Ste A4
Albuquerque, NM 87110-1391
Mailing address
2912 Thompson LN SW
Albuquerque, NM 87105-4434
Phone (505) 710-5188
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585267200000",
"number": "1083185128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2912 THOMPSON LN SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871054434",
"telephone_number": "505-710-5188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 GEORGIA ST NE STE A4",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871101391",
"telephone_number": "505-710-5188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENLIGHTENMENT COUNSELING & THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-16",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A",
"authorized_official_last_name": "ORTEGA",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-710-5188",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"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 Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.