Individual provider Active NPI

Matthew A. Bierds

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1154561447
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CTB-2022-0953 Issued in NM
Practice address
200 Broadway Blvd NE
Albuquerque, NM 87102-3431
Phone
(505) 225-1068
NPI assigned
Feb 25, 2009
Last updated
Jan 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CTB-2022-0953 NM Primary

Addresses

Primary practice location

200 Broadway Blvd NE
Albuquerque, NM 87102-3431

Mailing address

1720 Mount Hood TRL NW
Albuquerque, NM 87120-4385
Phone (512) 921-3846

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
I20240425000050 NM Practitioner - Mental Health Counselor 2062852031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5353 Wyoming Blvd NE
Suite H3
Albuquerque, NM 87109-3132
Phone (505) 225-1068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Duke City Counseling, LLC Professional CurrentSince Feb 24, 2024 Accepting new patients
Teletherapeutics Health Inc CurrentSince Jan 14, 2024 Accepting new patients
Chupik Counseling & Consulting PA Past Accepting new patients
Progressive Behavioral Health, PLLC Professional PastSince Apr 24, 2023 Accepting new patients

Locations

200 Broadway Blvd NE
Albuquerque, NM 87102
Phone (505) 225-1068

2741 Indian School Rd NE
Ste 212
Albuquerque, NM 87106
Phone (505) 225-1068

5353 Wyoming Blvd NE
Ste H3
Albuquerque, NM 87109
Phone (505) 225-1068

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1154561447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 MOUNT HOOD TRL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204385",
            "telephone_number": "512-921-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BROADWAY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023431",
            "telephone_number": "505-225-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERDS",
        "first_name": "MATTHEW",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-25",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2022-0953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.