Individual provider Active NPI

Marlena Rosnel, LISW

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1245574763
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
X-07941 Issued in NM
Practice address
6121 Indian School Rd NE Ste 103
Albuquerque, NM 87110-4165
Phone
(505) 345-5529
Fax
(505) 345-2211
NPI assigned
Nov 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X X-07941 NM Primary

Addresses

Primary practice location

6121 Indian School Rd NE Ste 103
Albuquerque, NM 87110-4165

Mailing address

6504 Siyian CT
Cochiti Lake, NM 87083-6008
Phone (505) 345-5529

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

LicenseStateTypeSpecialty
X-07941NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Decades, LLC Past Accepting new patients
New Mexico Counseling and Brain Health Past Accepting new patients

Organizations & group practices 2

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": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1245574763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6504 SIYIAN CT",
            "city": "COCHITI LAKE",
            "state": "NM",
            "postal_code": "870836008",
            "telephone_number": "505-345-5529",
            "fax_number": "505-345-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 INDIAN SCHOOL RD NE STE 103",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104165",
            "telephone_number": "505-345-5529",
            "fax_number": "505-345-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSNEL",
        "first_name": "MARLENA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "X-07941",
            "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 Nov 21, 2012; 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.