Individual provider Active NPI

Anne Harriette Bugel, LCSW, MDIV.

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1164544607
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-10764 Issued in NM
Practice address
3539 Thaxton Ave SE
Albuquerque, NM 87106
Phone
(828) 712-8278
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9760 SC
Pastoral Counselor 101YP1600X
Clinical Social Worker 1041C0700X CSW003315 GA
Clinical Social Worker 1041C0700X C004826 NC
Clinical Social Worker 1041C0700X C-10764 NM Primary

Addresses

Primary practice location

3539 Thaxton Ave SE
Albuquerque, NM 87106

Mailing address

3505 Vail Ave SE Apt C
Albuquerque, NM 87106-1666
Phone (828) 712-8278

Other practice location 1

3505 Vail Ave SE Apt C
Albuquerque, NM 87106-1666
Phone (828) 712-8278

Other practice location 2

3539 Thaxton Ave SE
Albuquerque, NM 87106
Phone (828) 712-8278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100909001145 NC Practitioner - Clinical Social Worker 3577688894 Reassigns benefits to 1 organization
I20191029003678 NM Practitioner - Clinical Social Worker 3577688894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

117 NM Hwy 346
Bosque, NM 87006
Phone (828) 712-8278

231 Sierra Dr SE
Suite 16
Albuquerque, NM 87108-5632
Phone (828) 712-8278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9760SCMDProfessional Counselor
CSW003315GAMDClinical Social Worker
C004826NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
True Color Counseling, LLC CurrentSince Oct 1, 2019 Accepting new patients
Tender Loving Care Homes, Inc. CurrentSince Sep 19, 2016 Accepting new patients
True Color Counseling Clinical CurrentSince Oct 13, 2019 Accepting new patients
Quality Family Services, Inc. Clinical PastSince Sep 19, 2016 Accepting new patients

Locations

2 Walden Ridge Dr
Ste 30
Asheville, NC 28803
Phone (828) 676-1657

3539 Thaxton Ave SE
Albuquerque, NM 87106
Phone (505) 750-2764

231 Sierra Dr SE
Ste 16
Albuquerque, NM 87108
Phone (828) 712-8278

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1164544607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 VAIL AVE SE APT C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061666",
            "telephone_number": "828-712-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3539 THAXTON AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87106",
            "telephone_number": "828-712-8278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3505 Vail Ave SE Apt C",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871061666",
            "country_code": "US",
            "telephone_number": "828-712-8278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3539 Thaxton Ave SE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "87106",
            "country_code": "US",
            "telephone_number": "828-712-8278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUGEL",
        "first_name": "ANNE",
        "middle_name": "HARRIETTE",
        "credential": "LCSW, MDIV.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "9760",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003315",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004826",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-10764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.