Organization Active NPI

Coherent Learning Systems, LLC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1215254909
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0122291 Issued in NM
Legal business name
COHERENT LEARNING SYSTEMS, LLC
Practice address
10601 Lomas Blvd NE Ste 108
Albuquerque, NM 87112-5462
Phone
(505) 259-9100
Fax
(505) 856-9600
NPI assigned
Apr 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Authorized official

Name
Mr. Carlton W Lewis, M.A. LPCC LADACNPI 1083818306
Title
Manager
Phone
(505) 259-9100

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 0092471 NM
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 0122291 NM Primary

Addresses

Primary practice location

10601 Lomas Blvd NE Ste 108
Albuquerque, NM 87112-5462

Mailing address

10601 Lomas Blvd NE Ste 108
Albuquerque, NM 87112-5462
Phone (505) 259-9100

Other identifiers 1

IdentifierTypeStateIssuer
13570587MedicaidNM

National Provider Directory

National Provider Directory

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": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1215254909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 LOMAS BLVD NE STE 108",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125462",
            "telephone_number": "505-259-9100",
            "fax_number": "505-856-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 LOMAS BLVD NE STE 108",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125462",
            "telephone_number": "505-259-9100",
            "fax_number": "505-856-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHERENT LEARNING SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "505-259-9100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A. LPCC LADAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0092471",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0122291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13570587",
            "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 Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.