Individual provider Active NPI

Kristie Doreen Hopper, LMFT

  • Marriage & Family Therapist
  • Albuquerque, NM
National Provider Identifier
1144779356
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
6612 Gulton CT NE
Albuquerque, NM 87109-4407
Phone
(505) 888-1686
NPI assigned
Sep 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

6612 Gulton CT NE
Albuquerque, NM 87109-4407

Mailing address

1126 Cuatro Cerros TRL SE
Albuquerque, NM 87123-5610
Phone (505) 659-9785

Other practice location 1

313 Kendal St Ste B
Vacaville, CA 95688-3960
Phone (707) 330-7904

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240229004651 NM Practitioner - Marriage and Family Therapist 5597100446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Elevation Counseling LLCGroup PAC ID 6507209236, 19 clinicians

Practice addresses (Care Compare)

6612 Gulton CT NE
Suite a
Albuquerque, NM 87109-4407
Phone (505) 888-1686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elevation Counseling, LLC Marriage & Family Therapist CurrentSince Jan 24, 2024 Accepting new patients
Restoration Family Counseling Center Marriage & Family Therapist Past Accepting new patients

Locations

6612 Gulton Ct NE
Ste A
Albuquerque, NM 87109
Phone (505) 289-0797

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1144779356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 CUATRO CERROS TRL SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871235610",
            "telephone_number": "505-659-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612 GULTON CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094407",
            "telephone_number": "505-888-1686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 Kendal St Ste B",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "956883960",
            "country_code": "US",
            "telephone_number": "707-330-7904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOPPER",
        "first_name": "KRISTIE",
        "middle_name": "DOREEN",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.