Active NPI
Zagreus LLC
- Mental Health Counselor
- Albuquerque, NM
National Provider Identifier
1174496103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- ZAGREUS LLC
- Practice address
- 4004 Carlisle Blvd NE
Albuquerque, NM 87107-4565 - Phone
- (505) 270-7733
- NPI assigned
- Sep 25, 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
- Justin Peterson, LPCC
- Title
- Clinician
- Phone
- (505) 270-7733
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4004 Carlisle Blvd NE
Albuquerque, NM 87107-4565
Mailing address
304 Homeland Rd NW
Albuquerque, NM 87114-1614
Phone (505) 270-7733
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758758400000",
"number": "1174496103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 HOMELAND RD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871141614",
"telephone_number": "505-270-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4004 CARLISLE BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871074565",
"telephone_number": "505-270-7733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZAGREUS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-25",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "CLINICIAN",
"authorized_official_telephone_number": "505-270-7733",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"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 Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.