Individual provider Active NPI

Audra Carrie Hays, LCSW

  • Clinical Social Worker
  • Belen, NM
National Provider Identifier
1194120162
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2024-0114 Issued in NM
Practice address
838 W Didier Ave
Belen, NM 87002-3160
Phone
(505) 312-0040
NPI assigned
Nov 3, 2014
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X M-08380 NM
Clinical Social Worker 1041C0700X SWB-2024-0114 NM Primary

Addresses

Primary practice location

838 W Didier Ave
Belen, NM 87002-3160

Mailing address

838 W Didier Ave
Belen, NM 87002-3160
Phone (505) 312-0040

Other practice location 1

5301 Sequoia N.W.
Albuquerque, NM 87120
Phone (505) 836-7330

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
I20240611000358 NM Practitioner - Clinical Social Worker 3577005107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11312 Canyonlands Rd SE
Albuquerque, NM 87123-5797
Phone (505) 280-0193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWB-2024-0114NMMDClinical Social Worker
M-08380NMMDAdolescent and Children Mental Health Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Rising New Mexico Clinical CurrentSince Aug 7, 2024 Accepting new patients
Heart & Soul of NM, Inc Clinical CurrentSince May 13, 2024 Accepting new patients

Locations

838 W Didier Ave
Belen, NM 87002
Phone (505) 312-0040

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": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1194120162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 W DIDIER AVE",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870023160",
            "telephone_number": "505-312-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 W DIDIER AVE",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870023160",
            "telephone_number": "505-312-0040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 Sequoia N.W.",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "87120",
            "country_code": "US",
            "telephone_number": "505-836-7330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYS",
        "first_name": "AUDRA",
        "middle_name": "CARRIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NM",
            "license": "M-08380",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2024-0114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belen, NM

Sources for this page

Verify at the official NPI Registry.