Individual provider Active NPI

Jennifer Michelle Espinosa

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1093258378
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CMH0209921 Issued in NM
Practice address
5203 Juan Tabo Blvd NE Ste 2a
Albuquerque, NM 87111-2691
Phone
(505) 266-6121
NPI assigned
Nov 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CMH0209921 NM Primary

Addresses

Primary practice location

5203 Juan Tabo Blvd NE Ste 2a
Albuquerque, NM 87111-2691

Mailing address

5203 Juan Tabo Blvd NE Ste 2a
Albuquerque, NM 87111-2691
Phone (505) 266-6121

Other practice location 1

41521 W 11 Mile Rd
Novi, MI 48375-1803
Phone (248) 299-0030

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
I20250331001331 NM Practitioner - Mental Health Counselor 7810410859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renewnm Therapy, IncGroup PAC ID 6901243088, 5 clinicians

Practice addresses (Care Compare)

4801 Lang Ave NE
Suite 110
Albuquerque, NM 87109-4475
Phone (505) 633-3183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CMH0209921NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renewnm Therapy, Inc. Mental Health CurrentSince Mar 1, 2025 Accepting new patients

Locations

4801 Lang Ave NE
Ste 110
Albuquerque, NM 87109
Phone (505) 633-3183

6330 Riverside Plaza Ln NW
Ste 210
Albuquerque, NM 87120
Phone (505) 207-8580

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": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1093258378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 JUAN TABO BLVD NE STE 2A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112691",
            "telephone_number": "505-266-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203 JUAN TABO BLVD NE STE 2A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112691",
            "telephone_number": "505-266-6121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41521 W 11 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483751803",
            "country_code": "US",
            "telephone_number": "248-299-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPINOSA",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CMH0209921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.