NPIMap

Organization Active NPI

Community Services Training Institute of New Mexico

  • Counselor
  • Albuquerque, NM
National Provider Identifier
1164633541
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
COMMUNITY SERVICES TRAINING INSTITUTE OF NEW MEXICO
Practice address
803 Tijeras Ave NW
Albuquerque, NM 87102-3096
Phone
(505) 243-2223
Fax
(505) 243-3576
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Ken Wells, PH.D
Title
Clinical Director
Phone
(505) 243-2223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

803 Tijeras Ave NW
Albuquerque, NM 87102-3096

Mailing address

PO Box 7065
Albuquerque, NM 87194-7065
Phone (505) 243-2223

Other identifiers 2

IdentifierTypeStateIssuer
35370025MedicaidNM
NM600145OtherNMVALUE OPTIONS NM ID

Other names 1

  • Counseling & Psychotherapy Institute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Counseling and Psychotherapy Institute4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

803 Tijeras Ave NW
Albuquerque, NM 87102
Phone (505) 243-2223

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1164633541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7065",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871947065",
            "telephone_number": "505-243-2223",
            "fax_number": "505-243-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 TIJERAS AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023096",
            "telephone_number": "505-243-2223",
            "fax_number": "505-243-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SERVICES TRAINING INSTITUTE OF NEW MEXICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "505-243-2223",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35370025",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS NM ID",
            "identifier": "NM600145",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling & Psychotherapy Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.