NPIMap

Organization Active NPI

Nizhoni Counseling

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1225538317
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NIZHONI COUNSELING
Practice address
11005 Spain Rd NE Ste 15
Albuquerque, NM 87111-1871
Phone
(505) 715-9673
NPI assigned
Feb 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Authorized official

Name
Ms. Autumn J Drags Wolf, LCSWNPI 1124458633
Title
President
Phone
(505) 715-9673

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

11005 Spain Rd NE Ste 15
Albuquerque, NM 87111-1871

Mailing address

2920 Carlisle Blvd NE Ste 106
Albuquerque, NM 87110-2855
Phone (505) 715-9673

National Provider Directory

National Provider Directory

Locations

2920 Carlisle Blvd NE
Ste 106
Albuquerque, NM 87110

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1225538317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 CARLISLE BLVD NE STE 106",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871102855",
            "telephone_number": "505-715-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11005 SPAIN RD NE STE 15",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111871",
            "telephone_number": "505-715-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIZHONI COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "DRAGS WOLF",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-715-9673",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Feb 13, 2019; 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.