Active NPI
Alice L Otero, LMHC
- Professional Counselor
- Albuquerque, NM
National Provider Identifier
1114192283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 99451
- Practice address
- 2202 Menaul Blvd NE
#B C D
Albuquerque, NM 87107 - Phone
- (505) 888-5499
- Fax
- (505) 888-5498
- NPI assigned
- Apr 29, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 99451 | NM | Primary |
Addresses
Primary practice location
2202 Menaul Blvd NE
#B C D
Albuquerque, NM 87107
Mailing address
PO Box 92002
Forensic Behavioral Health Assc
Albuquerque, NM 87199
Phone (505) 888-5499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99451 | NM | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1114192283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 92002",
"address_2": "FORENSIC BEHAVIORAL HEALTH ASSC",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87199",
"telephone_number": "505-888-5499",
"fax_number": "505-888-5498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 MENAUL BLVD NE",
"address_2": "#B C D",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87107",
"telephone_number": "505-888-5499",
"fax_number": "505-888-5498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTERO",
"first_name": "ALICE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-29",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "99451",
"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 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.