Individual provider Active NPI

Sam Newmon

  • Counselor
  • Albuquerque, NM
National Provider Identifier
1225337157
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
320 Osuna Rd NE Ste 4H
Albuquerque, NM 87107-5955
Phone
(505) 345-2778
Fax
(505) 345-2878
NPI assigned
Mar 17, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

320 Osuna Rd NE Ste 4H
Albuquerque, NM 87107-5955

Mailing address

8205 Spain Rd NE Ste 106
Albuquerque, NM 87109-3155
Phone (505) 445-0770

Other identifiers 1

IdentifierTypeStateIssuer
65220706MedicaidNM

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
I20240626000154 NM Practitioner - Mental Health Counselor 0042754566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Lifeworks LLCGroup PAC ID 5698219111, 2 clinicians

Practice addresses (Care Compare)

320 Osuna Rd NE
Suite H4
Albuquerque, NM 87107-5955
Phone (505) 345-2778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Lifeworks LLC CurrentSince Jun 11, 2024 Accepting new patients
Sam Newmon Ma, LPCC Current Accepting new patients
Rebecca Frock Ma, LPCC Past Accepting new patients

Locations

320 Osuna Rd NE
Ste H4
Albuquerque, NM 87107
Phone (505) 345-2778

320 Osuna Rd NE
Ste 4H
Albuquerque, NM 87107
Phone (505) 507-9087

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1225337157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 SPAIN RD NE STE 106",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093155",
            "telephone_number": "505-445-0770",
            "fax_number": "505-856-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 OSUNA RD NE STE 4H",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075955",
            "telephone_number": "505-345-2778",
            "fax_number": "505-345-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMON",
        "first_name": "SAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-17",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65220706",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.