Organization Active NPI

Three Hearts Therapy LLC

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1235487372
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-6807 Issued in NM
Legal business name
THREE HEARTS THERAPY LLC
Practice address
2424 Juan Tabo Blvd NE
Albuquerque, NM 87112-1818
Phone
(505) 503-1811
Fax
(505) 274-7338
NPI assigned
Aug 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Erin M Collins, LISW
Title
Proprietor
Phone
(505) 503-1811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X I-6807 NM Primary

Addresses

Primary practice location

2424 Juan Tabo Blvd NE
Albuquerque, NM 87112-1818

Mailing address

2201 San Pedro Dr NE Ste 100
Albuquerque, NM 87110-4133
Phone (505) 503-1811

Other identifiers 1

IdentifierTypeStateIssuer
30552737MedicaidNM

National Provider Directory

National Provider Directory

Locations

2201 San Pedro Dr NE
Ste 100
Albuquerque, NM 87110
Phone (505) 450-5475

2424 Juan Tabo Blvd NE
Albuquerque, NM 87112
Phone (505) 317-3792

7011 Prospect Pl NE
Albuquerque, NM 87110
Phone (505) 718-5716

2201 San Pedro Dr NE
Bldg 2-100
Albuquerque, NM 87110
Phone (505) 503-1811

Practitioners & affiliated clinicians

Practitioners 5

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": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1235487372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 SAN PEDRO DR NE STE 100",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104133",
            "telephone_number": "505-503-1811",
            "fax_number": "505-639-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 JUAN TABO BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121818",
            "telephone_number": "505-503-1811",
            "fax_number": "505-274-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE HEARTS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "505-503-1811",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-6807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30552737",
            "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 Jan 2, 2025; 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.