Active NPI
Diane C. Chavez, MA, LPCC, LSAA
- Mental Health Counselor
- Albuquerque, NM
National Provider Identifier
1093873135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0082381
- Practice address
- 4425 Juan Tabo Blvd NE Ste 112
Albuquerque, NM 87111-2684 - Phone
- (505) 503-6800
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0082381 | NM | Primary |
Addresses
Primary practice location
4425 Juan Tabo Blvd NE Ste 112
Albuquerque, NM 87111-2684
Mailing address
801 Guaymas PL NE
Albuquerque, NM 87108-2331
Phone (505) 238-7468
Other practice location 1
801 Guaymas Pl NE
Albuquerque, NM 87108-2331
Phone (505) 238-7468
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0082381 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elemental Health and Wellness Center LLC | Mental Health | Current | Accepting new patients |
| Transformative Counseling Center LLC | Current | Accepting new patients |
Locations
5111 San Mateo Blvd NE
Ste B2
Albuquerque, NM 87109
Phone (505) 238-7468
4425 Juan Tabo Blvd NE
Ste 112
Albuquerque, NM 87111
Phone (505) 503-6800
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.
-
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1912156654
-
- Marriage & Family Therapist
- Albuquerque, NM
- NPI 1891125183
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1093873135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 GUAYMAS PL NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871082331",
"telephone_number": "505-238-7468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 JUAN TABO BLVD NE STE 112",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871112684",
"telephone_number": "505-503-6800"
}
],
"practiceLocations": [
{
"address_1": "801 Guaymas Pl NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871082331",
"country_code": "US",
"telephone_number": "505-238-7468",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAVEZ",
"first_name": "DIANE",
"middle_name": "C.",
"credential": "MA, LPCC, LSAA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0082381",
"primary": true
}
],
"identifiers": [],
"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 Feb 10, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.