Individual provider Active NPI

Jennifer E Chavez, M.A. E.D.

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1184918104
Registry record updated Apr 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0176391 Issued in NM
Practice address
1505 Marron Circle NE
Albuquerque, NM 87112
Phone
(505) 730-1756
NPI assigned
Jun 7, 2011
Last updated
Apr 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0176391 NM Primary

Addresses

Primary practice location

1505 Marron Circle NE
Albuquerque, NM 87112

Mailing address

1505 Marron Cir NE
Albuquerque, NM 87112-3843
Phone (505) 730-1756

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
I20250826003914 NM Practitioner - Mental Health Counselor 8820598527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuropsychological Services of New Mexico, LLCGroup PAC ID 3577564947, 3 clinicians

Practice addresses (Care Compare)

10110 Spain Rd NE
Albuquerque, NM 87111-1965
Phone (505) 404-9395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0176391NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Metta House of Hopes and Dreams, LLC CurrentSince Aug 10, 2025 Accepting new patients
Neuropsychological Services of New Mexico, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

10110 Spain Rd NE
Albuquerque, NM 87111
Phone (505) 294-5065

9301 Indian School Rd NE
Ste 205A
Albuquerque, NM 87112
Phone (505) 379-6773

Organizations & group practices 2

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": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743811200000",
    "number": "1184918104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 MARRON CIR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123843",
            "telephone_number": "505-730-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 MARRON CIRCLE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87112",
            "telephone_number": "505-730-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "M.A. E.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2025-04-05",
        "certification_date": "2025-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0176391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.