Active NPI
Bubar and Counseling Associates LLC
- Adult Mental Health Clinic/Center
- Albuquerque, NM
National Provider Identifier
1104489269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- BUBAR AND COUNSELING ASSOCIATES LLC
- Practice address
- 2716 San Pedro Dr NE Ste D
Albuquerque, NM 87110-3331 - Phone
- (505) 385-0098
- NPI assigned
- Apr 15, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rhoda W Bubar, LPCC
- Title
- Provider
- Phone
- (505) 385-0098
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
2716 San Pedro Dr NE Ste D
Albuquerque, NM 87110-3331
Mailing address
7000 Grange Ave NW
Albuquerque, NM 87120-3517
Phone (505) 385-0098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240313000991 | NM | Part B Supplier - Clinic/Group Practice | 7416393400 |
Receives reassigned benefits from 1 practitioner Practice locations: Albuquerque, NM |
National Provider Directory
National Provider DirectoryLocations
4300 Carlisle Blvd NE
Ste C
Albuquerque, NM 87107
Phone (505) 385-0098
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555286400000",
"number": "1104489269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 GRANGE AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871203517",
"telephone_number": "505-385-0098",
"fax_number": "866-726-9155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2716 SAN PEDRO DR NE STE D",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871103331",
"telephone_number": "505-385-0098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUBAR AND COUNSELING ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-15",
"last_updated": "2019-04-15",
"status": "A",
"authorized_official_last_name": "BUBAR",
"authorized_official_first_name": "RHODA",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "505-385-0098",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"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 Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.