Organization Active NPI

Vanessa Braught Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rio Rancho, NM
National Provider Identifier
1114698420
Registry record updated Sep 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
VANESSA BRAUGHT COUNSELING, LLC
Practice address
4111 Barbara Loop SE Ste E1
Rio Rancho, NM 87124-1068
Phone
(505) 219-1973
NPI assigned
Sep 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2021

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

Authorized official

Name
Vanessa Braught, LPCCNPI 1578081311
Title
Ownder
Phone
(505) 219-1973

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

4111 Barbara Loop SE Ste E1
Rio Rancho, NM 87124-1068

Mailing address

317 Valle Alto Dr NE
Rio Rancho, NM 87124-4559
Phone (505) 514-9532

Other identifiers 1

IdentifierTypeStateIssuer
CCMH0211901OtherNMNEW MEXICO REGULATION AND LICENSING DEPARTMENT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260304001781 NM Part B Supplier - Clinic/Group Practice 0840772331 Receives reassigned benefits from 1 practitioner
Practice locations: Rio Rancho, NM

National Provider Directory

National Provider Directory

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": "1632614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632614400000",
    "number": "1114698420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 VALLE ALTO DR NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244559",
            "telephone_number": "505-514-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 BARBARA LOOP SE STE E1",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241068",
            "telephone_number": "505-219-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANESSA BRAUGHT COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-26",
        "last_updated": "2021-09-26",
        "certification_date": "2021-09-26",
        "status": "A",
        "authorized_official_last_name": "BRAUGHT",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "505-219-1973",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO REGULATION AND LICENSING DEPARTMENT",
            "identifier": "CCMH0211901",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2021; 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.