Individual provider Active NPI

Tobias Unterfranz, LPCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1083955561
Registry record updated Jan 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0200651 Issued in NM
Practice address
4701 Montano Rd NW Ste 102
Albuquerque, NM 87120-2427
Phone
(505) 350-8452
NPI assigned
Mar 8, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CCMH0200651 NM Primary

Addresses

Primary practice location

4701 Montano Rd NW Ste 102
Albuquerque, NM 87120-2427

Mailing address

5400 Montgomery Blvd NE Apt 409B
Albuquerque, NM 87109-1312
Phone (630) 707-0807

Other practice location 1

1025 Hermosa Dr SE
Albuquerque, NM 87108-4312
Phone (505) 237-0061

Other identifiers 1

IdentifierTypeStateIssuer
17602904MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260326002914 NM Practitioner - Mental Health Counselor 7719462811 Reassigns benefits to 1 organization
I20260331001987 IL Practitioner - Mental Health Counselor 7719462811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CCMH0200651NMMDProfessional Counselor

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": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546732800000",
    "number": "1083955561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 MONTGOMERY BLVD NE APT 409B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091312",
            "telephone_number": "630-707-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 MONTANO RD NW STE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202427",
            "telephone_number": "505-350-8452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Hermosa Dr SE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871084312",
            "country_code": "US",
            "telephone_number": "505-237-0061",
            "fax_number": "505-237-0068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNTERFRANZ",
        "first_name": "TOBIAS",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-08",
        "last_updated": "2019-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0200651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17602904",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.