Christine Johnsen, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CTB-2022-0813 Issued in NM

Practice address

10700 Academy Rd NE
Albuquerque, NM 87111-7378

Phone

(505) 288-0200

NPI assigned

Feb 26, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Christine Shover Former name

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthy Families of Albuquerque LLCGroup PAC ID 0840474391, 11 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 and National Provider Directory roles.

• Healthy Families of Albuquerque LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1568790582
  Medicare reassignment Care Compare group NPD
• Simple Connections Counseling, LLC

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1841999059
  NPD Authorized official
• Jumpstart, LLC

  • Behavior Analyst
  • Albuquerque, NM
  • NPI 1225206105
  NPD (past)
• Jumpstart, LLC

  • Clinical Child & Adolescent Psychologist
  • Albuquerque, NM
  • NPI 1477386852
  NPD (past)
• Rise Integrated Health LLC

  • Nurse Practitioner
  • Albuquerque, NM
  • NPI 1043161474
  NPD (past)

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1144680638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 ACADEMY RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117378",
            "telephone_number": "505-288-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 ACADEMY RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117378",
            "telephone_number": "505-288-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSEN",
        "first_name": "CHRISTINE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2022-0813",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16809742",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "SHOVER",
            "credential": "MA, LMHC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel John, NBC HIS
• Sheba Babu John, DO
• Kelsey Johndrow
• Carolyn Johns, CNP
• Nicholas Johns
• Michael W Johnsen, M.D.
• Gail Johnson-Camuglia, MS RD
• Kaley Johnson-Gonzales, LMSW
• Erika K. Johnson-Jimenez, PH.D.
• Elane W Johnson-Williams

• 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 Feb 27, 2023; 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.