Individual provider Active NPI

Joseph Boncek, LPCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1235549809
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0190021 Issued in NM
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

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
23186577MedicaidNM

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
I20241206000930 NM Practitioner - Mental Health Counselor 5799211355 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bosque Mental Health Associates, Inc. Mental Health CurrentSince Nov 1, 2024 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

Verify at the official NPI Registry.