Organization Active NPI

Mindset Mental Health

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1114618634
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MINDSET MENTAL HEALTH
Practice address
2601 Wyoming Blvd NE Ste 218
Albuquerque, NM 87112-1033
Phone
(505) 750-1561
NPI assigned
May 16, 2023
Last updated
Jul 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Angela A Godinez, LPCCNPI 1568773265
Title
Owner
Phone
(505) 750-1561

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

2601 Wyoming Blvd NE Ste 218
Albuquerque, NM 87112-1033

Mailing address

6508 Evesham Rd NW
Albuquerque, NM 87120-6212
Phone (505) 908-4011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240806000764 NM Part B Supplier - Clinic/Group Practice 7810434081 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

2601 Wyoming Blvd NE
Ste 212
Albuquerque, NM 87112
Phone (505) 288-1105

2601 Wyoming Blvd NE
Ste 218
Albuquerque, NM 87112
Phone (505) 504-6697

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1114618634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6508 EVESHAM RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871206212",
            "telephone_number": "505-908-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 WYOMING BLVD NE STE 218",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121033",
            "telephone_number": "505-750-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSET MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "GODINEZ",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-750-1561",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 30, 2024; 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.