Active NPI
Tatia O Lipe, LCSW, ACCTS
- Clinical Social Worker
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-07992
- Practice address
- 4141 Montgomery Blvd NE
Albuquerque, NM 87109-6741 - Phone
- (505) 560-2804
- NPI assigned
- Nov 8, 2008
- Last updated
- Sep 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0122711 | NM | |
| Clinical Social Worker | 1041C0700X | I-07992 | NM | |
| Clinical Social Worker | 1041C0700X | C-07992 | NM | Primary |
Addresses
Primary practice location
4141 Montgomery Blvd NE
Albuquerque, NM 87109-6741
Mailing address
6424 Avenida Seville NW
Albuquerque, NM 87114-3765
Phone (575) 317-8717
Other practice location 1
4801 Lang Ave NE Ste 110
New Horizons Counseling Services, LLC
Albuquerque, NM 87109-4475
Phone (505) 814-1904
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4141 Montgomery Blvd NE
Albuquerque, NM 87109-6741
Phone (505) 278-0428
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0122711 | NM | MD | Addiction (Substance Use Disorder) Counselor |
| I-07992 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Horizons Counseling Services, LLC | Clinical | Current | Accepting new patients |
Locations
4141 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 278-0428
Organizations & group practices 1
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.
-
dba Tatia Harris-Lipe
- Clinical Social Worker
- Albuquerque, NM
- NPI 1720226590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662768000000",
"number": "1205080983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6424 AVENIDA SEVILLE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871143765",
"telephone_number": "575-317-8717",
"fax_number": "575-208-0325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 MONTGOMERY BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871096741",
"telephone_number": "505-560-2804"
}
],
"practiceLocations": [
{
"address_1": "4801 Lang Ave NE Ste 110",
"address_2": "New Horizons Counseling Services, LLC",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871094475",
"country_code": "US",
"telephone_number": "505-814-1904",
"fax_number": "575-208-0325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIPE",
"first_name": "TATIA",
"middle_name": "O",
"credential": "LCSW, ACCTS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-08",
"last_updated": "2022-09-10",
"certification_date": "2022-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "0122711",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-07992",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-07992",
"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 Sep 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.