Individual provider Active NPI

Kevin Mancini, LMFT

  • Marriage & Family Therapist
  • Rio Rancho, NM
National Provider Identifier
1174903801
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
CMF0188181 Issued in NM
Practice address
4111 Barbara Loop SE Ste E1
Rio Rancho, NM 87124-1068
Phone
(505) 891-1583
Fax
(505) 891-1768
NPI assigned
Jun 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X CMF0188181 NM Primary
Professional Counselor 101YP2500X CMF0188181 NM

Addresses

Primary practice location

4111 Barbara Loop SE Ste E1
Rio Rancho, NM 87124-1068

Mailing address

3901 Georgia St NE Ste A4
Albuquerque, NM 87110-1391
Phone (505) 891-1583

Other practice location 1

707 Broadway Blvd NE
Ste 103
Albuquerque, NM 87102-2360
Phone (505) 994-4100

Other identifiers 1

IdentifierTypeStateIssuer
77706773MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240725003107 NM Practitioner - Marriage and Family Therapist 8224574264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Enhancement Center, P.C.Group PAC ID 0648297499, 19 clinicians

Practice addresses (Care Compare)

3901 Georgia St NE
Suite A4
Albuquerque, NM 87110-1391
Phone (505) 891-1583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0173701NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Enhancement Center, P.C. Mental Health CurrentSince Jun 27, 2024 Accepting new patients
From Darkness to Light Counseling Services, LLC Mental Health PastSince Mar 20, 2025 Accepting new patients
RCM-Testing LLC Past Accepting new patients

Locations

3901 Georgia St NE
Ste A4
Albuquerque, NM 87110
Phone (505) 710-5188

Organizations & group practices 3

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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1174903801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 GEORGIA ST NE STE A4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101391",
            "telephone_number": "505-891-1583",
            "fax_number": "505-891-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 BARBARA LOOP SE STE E1",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241068",
            "telephone_number": "505-891-1583",
            "fax_number": "505-891-1768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 Broadway Blvd NE",
            "address_2": "Ste 103",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871022360",
            "country_code": "US",
            "telephone_number": "505-994-4100",
            "fax_number": "505-994-1229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "KEVIN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CMF0188181",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CMF0188181",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77706773",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.