Solid Society of New Mexico Corp

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOLID SOCIETY OF NEW MEXICO CORP

Practice address

609 Gold Ave SW Ste 1F
Albuquerque, NM 87102-3119

Phone

(505) 758-7200

NPI assigned

May 20, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Scott Thomas Clark, LPCCNPI 1487163002

Title

Executive Director

Phone

(505) 758-7200

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Solid Society Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Thomas Clark, LPCC

  • Professional Counselor
  • Crescent City, CA
  • NPI 1487163002
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1265007496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 SAN MATEO BLVD NE # 191",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105146",
            "telephone_number": "505-758-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 GOLD AVE SW STE 1F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023119",
            "telephone_number": "505-758-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLID SOCIETY OF NEW MEXICO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-758-7200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40136728",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solid Society",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Solid Society",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Solana Care, LC
• Marylou Solbrig
• Sole Comfort Shoes, Inc.
• Richard Sole
• Arley Soler
• Edgar A Solis Cordero
• Erika Solis-Gilmore, MD
• Alejandro Stevan Solis
• Anjelica D Solis
• Bobby Solis

• Mental Health Clinic/Center (Including Community Mental Health Center) in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.