Individual provider Active NPI

Carlton W. Lewis, M.A. LPCC LADAC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1083818306
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0122291 Issued in NM
Practice address
10601 Lomas Blvd NE Ste 108
Albuquerque, NM 87112-5462
Phone
(505) 259-9100
NPI assigned
Jun 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0092471 NM
Mental Health Counselor 101YM0800X 0122291 NM Primary

Addresses

Primary practice location

10601 Lomas Blvd NE Ste 108
Albuquerque, NM 87112-5462

Mailing address

4526 Brookwood St NE
Albuquerque, NM 87109-2755
Phone (505) 259-9100

Other practice location 1

4011 Barbara Loop SE Ste 205
Rio Rancho, NM 87124-1041
Phone (505) 859-7734

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
I20251125004962 NM Practitioner - Mental Health Counselor 7810489838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10615 Rio del Sol CT NW
Albuquerque, NM 87114-3885

4011 Barbara Loop SE
Suite 205
Rio Rancho, NM 87124-1041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0092471NMMDAddiction (Substance Use Disorder) Counselor
0122291NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Counseling LLC CurrentSince Nov 7, 2025 Accepting new patients
Coherent Learning Systems, LLC Addiction (Substance Use Disorder) Past Accepting new patients

Locations

4011 Barbara Loop SE
Ste 205
Rio Rancho, NM 87124
Phone (505) 342-5493

Organizations & group practices 2

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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1083818306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4526 BROOKWOOD ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092755",
            "telephone_number": "505-259-9100",
            "fax_number": "505-856-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 LOMAS BLVD NE STE 108",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125462",
            "telephone_number": "505-259-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4011 Barbara Loop SE Ste 205",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871241041",
            "country_code": "US",
            "telephone_number": "505-859-7734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CARLTON",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "M.A. LPCC LADAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0092471",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0122291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.