Active NPI
Changing Seasons Therapy, LLC
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1174406987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CHANGING SEASONS THERAPY, LLC
- Practice address
- 2601 Wyoming Blvd NE Ste 212
Albuquerque, NM 87112-1033 - Phone
- (505) 288-1105
- Fax
- (888) 830-6839
- NPI assigned
- Jul 29, 2025
- Last updated
- Jul 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dominica Montano, LCSW
- Title
- Mental Health Therapist
- Phone
- (505) 288-1105
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
2601 Wyoming Blvd NE Ste 212
Albuquerque, NM 87112-1033
Mailing address
119 Quail Hill TRL
Pena Blanca, NM 87041-5106
Phone (505) 288-1105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753747200000",
"number": "1174406987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 QUAIL HILL TRL",
"city": "PENA BLANCA",
"state": "NM",
"postal_code": "870415106",
"telephone_number": "505-288-1105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 WYOMING BLVD NE STE 212",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871121033",
"telephone_number": "505-288-1105",
"fax_number": "888-830-6839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANGING SEASONS THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-29",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A",
"authorized_official_last_name": "MONTANO",
"authorized_official_first_name": "DOMINICA",
"authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
"authorized_official_telephone_number": "505-288-1105",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"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 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.