Active NPI
Magic Lens Counseling
- Marriage & Family Therapist
- Albuquerque, NM
National Provider Identifier
1194259689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0120991
- Legal business name
- MAGIC LENS COUNSELING
- Practice address
- 1124 Park Ave SW
Albuquerque, NM 87102-2941 - Phone
- (505) 715-2802
- NPI assigned
- Apr 12, 2017
- 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
- Stephen Hoogerbrugge, LMFT
- Title
- Owner
- Phone
- (505) 715-2802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0120991 | NM | Primary |
Addresses
Primary practice location
1124 Park Ave SW
Albuquerque, NM 87102-2941
Mailing address
PO Box 94508
Albuquerque, NM 87199-4508
Phone (505) 384-7352
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491955200000",
"number": "1194259689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 94508",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871994508",
"telephone_number": "505-384-7352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 PARK AVE SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022941",
"telephone_number": "505-715-2802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGIC LENS COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-12",
"last_updated": "2017-04-12",
"status": "A",
"authorized_official_last_name": "HOOGERBRUGGE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-715-2802",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "NM",
"license": "0120991",
"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 Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.