Organization Active NPI

Cerebral Solutions Counseling LLC

  • Adult Mental Health Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1194425629
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Mar 3, 2023

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

Authorized official

Name
Lora Smalley, LMFTNPI 1780772418
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
28104536MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240125000389 NM Part B Supplier - Clinic/Group Practice 7214380328 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.