Active NPI
Ashley Alexandra Roethler, MA
- Counselor
- Albuquerque, NM
National Provider Identifier
1134324270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0102371
- Practice address
- 2403 San Mateo Blvd NE
Suite W-10
Albuquerque, NM 87110-4058 - Phone
- (505) 830-6500
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0102371 | NM | Primary |
Addresses
Primary practice location
2403 San Mateo Blvd NE
Suite W-10
Albuquerque, NM 87110-4058
Mailing address
9 Hopi Dr
Los Lunas, NM 87031-6291
Phone (505) 319-5559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102371 | NM | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187222400000",
"number": "1134324270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 HOPI DR",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870316291",
"telephone_number": "505-319-5559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2403 SAN MATEO BLVD NE",
"address_2": "SUITE W-10",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871104058",
"telephone_number": "505-830-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROETHLER",
"first_name": "ASHLEY",
"middle_name": "ALEXANDRA",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2007-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "0102371",
"primary": true
}
],
"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 Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.