Jennifer Fiordelisi, MA, LPCC, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0110261 Issued in NM

Practice address

2315 San Pedro Dr NE Ste F1
Albuquerque, NM 87110-4158

Phone

(505) 553-1725

NPI assigned

May 2, 2010

Last updated

Nov 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Robben R. Gingery, MD, LLC

  • Geriatric Psychiatry Physician
  • Rio Rancho, NM
  • NPI 1033527015
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1215254123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 ASPEN AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105213",
            "telephone_number": "505-553-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 SAN PEDRO DR NE STE F1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104158",
            "telephone_number": "505-553-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORDELISI",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "MA, LPCC, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-02",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0110261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NONE GIVEN",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49381857",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "NONE GIVEN",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori H Finley, MD
• Teresa Finley, LPCC
• William Finley, CNP
• Michael M Finnegan, DOM, LMT, CMTPT
• Angela Fioravantes Corelis
• Erika Dawn Firebaugh, DPT
• Firefly Mental Health LLC
• Firespirit Inc (FireSpirit)
• Firespirit, Inc (FireSpirit)
• Firew Mental Health Service

• Professional Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.