Individual provider Active NPI

Melynda Denice Madrid, LPCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1164741534
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0132101 Issued in NM
Practice address
10408 Calle Alma NW
Albuquerque, NM 87114-1366
Phone
(505) 306-2257
Fax
(833) 837-3627
NPI assigned
May 25, 2010
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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 CCMH0132101 NM Primary

Addresses

Primary practice location

10408 Calle Alma NW
Albuquerque, NM 87114-1366

Mailing address

PO Box 67638
Albuquerque, NM 87193-7638
Phone (505) 306-2257

Other practice location 1

1005 21st St SE Ste B-1
Rio Rancho, NM 87124-4030
Phone (505) 269-8821

Other practice location 2

4233 Montgomery Blvd NE
Suite 240
Albuquerque, NM 87109-6749
Phone (505) 306-2257

Other practice location 3

4233 Montgomery Blvd NE
Suite 240
Albuquerque, NM 87109-6749
Phone (505) 306-2257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CCMH0132101NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Encouraging Heart Counseling, LLC Professional CurrentSince Jul 24, 2022 Accepting new patients

Locations

4233 Montgomery Blvd NE
Ste 240
Albuquerque, NM 87109
Phone (505) 306-2257

Organizations & group practices 1

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": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1164741534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67638",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871937638",
            "telephone_number": "505-306-2257",
            "fax_number": "833-837-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10408 CALLE ALMA NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141366",
            "telephone_number": "505-306-2257",
            "fax_number": "833-837-3627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 21st St SE Ste B-1",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871244030",
            "country_code": "US",
            "telephone_number": "505-269-8821",
            "fax_number": "833-837-3627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4233 Montgomery Blvd NE",
            "address_2": "Suite 240",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871096749",
            "country_code": "US",
            "telephone_number": "505-306-2257",
            "fax_number": "505-883-3076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4233 Montgomery Blvd NE",
            "address_2": "Suite 240",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871096749",
            "country_code": "US",
            "telephone_number": "505-306-2257",
            "fax_number": "505-883-3076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADRID",
        "first_name": "MELYNDA",
        "middle_name": "DENICE",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2022-07-19",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0132101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 19, 2022; 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.