Tracey J Folland, LPCC
Individual provider Active NPI Professional Counselor · Abq, NM
NPI 1093034951 · NPPES record last updated Sep 8, 2023
Key facts
- NPI
- 1093034951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- CCMH0159831 (NM)
- Practice address
- 1218 Griegos Street NW
Hogares Inc
Abq, NM 87107 - Phone
- (505) 345-8471
- NPI assigned
- May 18, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231229000383 | NM | Practitioner - Mental Health Counselor | 6800246026 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of the Heart Recovery | Current |
Accepting new patients | |
| State of the Heart Recovery | Current | Accepting new patients |
Locations
601 San Pedro Dr NE
Albuquerque, NM 87108
Phone (505) 308-8296
203 California St NE
Albuquerque, NM 87108
Phone (505) 206-0288
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CCMH0159831 | NM | Yes |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
1218 Griegos Street NW
Hogares Inc
Abq, NM 87107
Mailing address
228 Adams St NE
Albuquerque, NM 87108-1204
Phone (505) 366-4009
Other providers in Abq, NM
- Dulce Cervantes Montalvo
- Maria C Chavez
- Ebony Tyiann Marie Conner
- Debra Jane Eastman
- Wendy Lee Hopkins
- Laura Tenorio
All providers in Abq, NM · Professional Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.