Individual provider Active NPI

Tatia O Lipe, LCSW, ACCTS

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1205080983
Registry record updated Sep 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-07992 Issued in NM
Practice address
4141 Montgomery Blvd NE
Albuquerque, NM 87109-6741
Phone
(505) 560-2804
NPI assigned
Nov 8, 2008
Last updated
Sep 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230405001494 NM Practitioner - Clinical Social Worker 8224403266 Reassigns benefits to 1 organization

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 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0122711NMMDAddiction (Substance Use Disorder) Counselor
I-07992NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons Counseling Services, LLC Clinical CurrentSince Oct 2, 2023 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.

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

Verify at the official NPI Registry.