Jackie Lynne West, LPCC, LADAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CTB-2022-0948 Issued in NM

Practice address

5400 Gibson Blvd SE
Albuquerque, NM 87108-5566

Phone

(505) 841-8978

Fax

(505) 841-8977

NPI assigned

May 8, 2007

Last updated

Jan 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Teambuilders Behavioral Health LLCGroup PAC ID 5294126629, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Teambuilders Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Santa Fe, NM
  • NPI 1790329472

  Mental Health

  Medicare reassignment Care Compare group NPD
• Teambuilders Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Raton, NM
  • NPI 1043889413
  NPD
• Teambuilders Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Rio Rancho, NM
  • NPI 1619769569
  NPD

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1124231618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 CAMINO ENTRADA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074851",
            "telephone_number": "505-216-2727",
            "fax_number": "505-365-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 GIBSON BLVD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871085566",
            "telephone_number": "505-841-8978",
            "fax_number": "505-841-8977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "428 Los Lentes Rd SE Ste 3",
            "address_purpose": "LOCATION",
            "city": "Los Lunas",
            "state": "NM",
            "postal_code": "870316018",
            "country_code": "US",
            "telephone_number": "505-865-3350",
            "fax_number": "505-865-4739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "JACKIE",
        "middle_name": "LYNNE",
        "credential": "LPCC, LADAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "4749",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-0098501",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2022-0948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Mesa Oral and Maxillofacial Surgery PC
• West Mesa Regent Pharmacy
• West Side Speech Academy, LLC
• Alyssa Joy West
• Amber L West, PA-C
• James M West, MD
• Jennifer Lee West, LM,CPM
• Jessica Lee West, PA-C
• Jordan West, MD
• Julie West, RN

• Professional Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.