32 Degrees Genuine, LLC
Organization Active NPI Mental Health Counselor · Albuquerque, NM
NPI 1255896353 · NPPES record last updated Nov 13, 2025
Key facts
- NPI
- 1255896353
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- 32 DEGREES GENUINE, LLC
- Practice address
- 5701 Carmel Ave NE Ste B
Albuquerque, NM 87113-2843 - Phone
- (505) 308-5226
- Fax
- (505) 514-0754
- NPI assigned
- Feb 4, 2019
- Organization subpart
- No
Authorized official
- Name
- Jessica R Johnson, LPCC
- Title
- Therapist/Owner
- Phone
- (505) 595-6622
Practitioners 9
-
Jens Brakenhoff, LMHC
-
Anna May Kilgro, LMHC
-
Alyssa Kramer, LMSW
-
Stephanie Browne, LPCC, LBSW
-
Jessica Rae Johnson, LPCC, NCC
-
Neoma Stoltzfus-Dover, LSAA
-
Ryan Jerome Tingley, PROVISIONAL LMHC
-
Jennifer Padilla, MSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240315000721 | NM | Part B Supplier - Clinic/Group Practice | 4183060981 |
Receives reassigned benefits from 7 practitioners Practice locations: Albuquerque, NM |
National Provider Directory
Locations
10143 4th St NW
Albuquerque, NM 87114
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
5701 Carmel Ave NE Ste B
Albuquerque, NM 87113-2843
Mailing address
5701 Carmel Ave NE Ste B
Albuquerque, NM 87113-2843
Phone (505) 595-6622
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63238730 | Medicaid | NM |
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All providers in Albuquerque, NM · Mental Health Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.