Active NPI
Xochihuan Traditional Healing and Psychotheraphy, LLC
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1124680319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- XOCHIHUAN TRADITIONAL HEALING AND PSYCHOTHERAPHY, LLC
- Practice address
- 1006 Jane St NE
Albuquerque, NM 87112-5612 - Phone
- (505) 485-3060
- NPI assigned
- Jul 8, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaysa P Jones, LCSW
- Title
- Owner
- Phone
- (505) 450-6690
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1006 Jane St NE
Albuquerque, NM 87112-5612
Mailing address
1006 Jane St NE
Albuquerque, NM 87112-5612
Phone (505) 485-3060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27174751 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
3500 Comanche Rd NE
Ste E6
Albuquerque, NM 87107
Phone (505) 485-3060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585526400000",
"number": "1124680319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 JANE ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871125612",
"telephone_number": "505-485-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 JANE ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871125612",
"telephone_number": "505-485-3060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "XOCHIHUAN TRADITIONAL HEALING AND PSYCHOTHERAPHY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-08",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "JAYSA",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-450-6690",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "27174751",
"state": "NM"
}
],
"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 Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.