Active NPI
Cerebral Solutions Counseling LLC
- Adult Mental Health Clinic/Center
- Albuquerque, NM
National Provider Identifier
1194425629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- CEREBRAL SOLUTIONS COUNSELING LLC
- Practice address
- 10131 Coors Blvd NW Ste H8
Albuquerque, NM 87114-4048 - Phone
- (505) 900-5084
- NPI assigned
- Mar 3, 2023
- 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
- Lora Smalley, LMFT
- Title
- Owner
- Phone
- (505) 900-5084
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
10131 Coors Blvd NW Ste H8
Albuquerque, NM 87114-4048
Mailing address
10813 Buckboard St NW
Albuquerque, NM 87114-5464
Phone (505) 818-9762
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28104536 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240125000389 | NM | Part B Supplier - Clinic/Group Practice | 7214380328 |
Receives reassigned benefits from 1 practitioner Practice locations: Albuquerque, NM |
National Provider Directory
National Provider DirectoryLocations
10131 Coors Blvd NW
Ste H8
Albuquerque, NM 87114
Phone (505) 207-9044
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677801600000",
"number": "1194425629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10813 BUCKBOARD ST NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871145464",
"telephone_number": "505-818-9762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10131 COORS BLVD NW STE H8",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871144048",
"telephone_number": "505-900-5084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEREBRAL SOLUTIONS COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-03",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A",
"authorized_official_last_name": "SMALLEY",
"authorized_official_first_name": "LORA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-900-5084",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "28104536",
"state": "NM"
}
],
"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 Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.