Active NPI
Kevin Mancini, LMFT
- Marriage & Family Therapist
- Rio Rancho, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- CMF0188181
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77706773 | Medicaid | NM |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0173701 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Enhancement Center, P.C. | Mental Health | Current | Accepting new patients |
| From Darkness to Light Counseling Services, LLC | Mental Health | Past | 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.
-
- Mental Health Counselor
- Albuquerque, NM
- NPI 1235237801
-
- Community/Behavioral Health Agency
- Rio Rancho, NM
- NPI 1487453130
Mental Health
-
- Clinical Medical Laboratory
- Rio Rancho, NM
- NPI 1750833323
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.