Ava Clinic LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

AVA CLINIC LLC

Practice address

4343 Prairie Hill PL NW
Albuquerque, NM 87114-5456

Phone

(925) 407-6664

NPI assigned

Aug 2, 2025

Organization subpart

No

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

Authorized official

Name

Miss Nazanin Bagheri, LPCCNPI 1164024709

Title

Licensed Clinical Counselor

Phone

(925) 407-6664

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nazanin Bagheri, MA, LPCC

  • Professional Counselor
  • Rio Rancho, NM
  • NPI 1164024709

  NM

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1754092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754092800000",
    "number": "1124902218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 PRAIRIE HILL PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145456",
            "telephone_number": "925-407-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 PRAIRIE HILL PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145456",
            "telephone_number": "925-407-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVA CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-02",
        "last_updated": "2025-08-02",
        "certification_date": "2025-08-02",
        "status": "A",
        "authorized_official_last_name": "BAGHERI",
        "authorized_official_first_name": "NAZANIN",
        "authorized_official_title_or_position": "LICENSED CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "925-407-6664",
        "authorized_official_name_prefix": "Miss",
        "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autism Specialists LLC
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• Aurora Auwen, MD
• Cijara Auxier
• Edward D Auyang, M.D.
• Avalon Psychiatric Services LLC
• Irma Avalos, RPH
• Paul NMN Avalos, Jr, RN
• Mary Delia Avalos, AGACNP-BC
• Paola Avalos

• All providers in Albuquerque, NM
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2025; 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.