Active NPI
Kristen Mendoza
- Mental Health Counselor
- Albuquerque, NM
National Provider Identifier
1235830647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CTB-2025-0430
- Practice address
- 11811 Menaul Blvd NE Ste 3
Albuquerque, NM 87112-1788 - Phone
- (505) 633-6885
- NPI assigned
- Mar 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Mental Health Counselor | 101YM0800X | CTB-2025-0430 | NM | Primary |
Addresses
Primary practice location
11811 Menaul Blvd NE Ste 3
Albuquerque, NM 87112-1788
Mailing address
8100 Wyoming Blvd NE Ste 406
Albuquerque, NM 87113-1946
Other practice location 1
8500 Washington St NE Ste A1
Albuquerque, NM 87113-1861
Phone (505) 828-3837
Other practice location 2
1817 Wellspring Ave SE Ste D
Rio Rancho, NM 87124-4956
Phone (505) 828-3837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CTB-2025-0430 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1235830647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 WYOMING BLVD NE STE 406",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871131946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11811 MENAUL BLVD NE STE 3",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871121788",
"telephone_number": "505-633-6885"
}
],
"practiceLocations": [
{
"address_1": "8500 Washington St NE Ste A1",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871131861",
"country_code": "US",
"telephone_number": "505-828-3837",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1817 Wellspring Ave SE Ste D",
"address_purpose": "LOCATION",
"city": "Rio Rancho",
"state": "NM",
"postal_code": "871244956",
"country_code": "US",
"telephone_number": "505-828-3837",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDOZA",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-13",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "CTB-2025-0430",
"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 Jul 1, 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.