Active NPI
Tobias Unterfranz, LPCC
- Professional Counselor
- Albuquerque, NM
National Provider Identifier
1083955561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CCMH0200651
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17602904 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| CCMH0200651 | NM | MD | Professional 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.