Organization Active NPI

Bubar and Counseling Associates LLC

  • Adult Mental Health Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1104489269
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Apr 15, 2019

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

Authorized official

Name
Rhoda W Bubar, LPCCNPI 1942498456
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20240313000991 NM Part B Supplier - Clinic/Group Practice 7416393400 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.