Active NPI
Joseph Boncek, LPCC
- Professional Counselor
- Albuquerque, NM
National Provider Identifier
1235549809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CCMH0190021
- Practice address
- 5310 Homestead Rd NE Ste 300
Albuquerque, NM 87110-1524 - Phone
- (505) 503-6838
- Fax
- (505) 369-1292
- NPI assigned
- May 5, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CCMH0190021 | NM | Primary |
Addresses
Primary practice location
5310 Homestead Rd NE Ste 300
Albuquerque, NM 87110-1524
Mailing address
5310 Homestead Rd NE Ste 300
Albuquerque, NM 87110-1524
Phone (505) 503-6838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23186577 | Medicaid | NM |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bosque Mental Health Associates, Inc. | Mental Health | Current | Accepting new patients |
Locations
5310 Homestead Rd NE
Ste 300
Albuquerque, NM 87110
Phone (505) 503-6838
Organizations & group practices 1
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": "1399248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1235549809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5310 HOMESTEAD RD NE STE 300",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871101524",
"telephone_number": "505-503-6838",
"fax_number": "505-369-1292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5310 HOMESTEAD RD NE STE 300",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871101524",
"telephone_number": "505-503-6838",
"fax_number": "505-369-1292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONCEK",
"first_name": "JOSEPH",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-05",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "CCMH0190021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "23186577",
"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 May 27, 2026; 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.