Active NPI
Cora Ann Boyd, LMHC
- Counselor
- Albuquerque, NM
National Provider Identifier
1275268419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CTB-2022-0075
- Practice address
- 7615 Via Cometa SW
Albuquerque, NM 87121-2336 - Phone
- (505) 903-9603
- NPI assigned
- Jul 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CTB-2022-0075 | NM | Primary |
Addresses
Primary practice location
7615 Via Cometa SW
Albuquerque, NM 87121-2336
Mailing address
7615 Via Cometa SW
Albuquerque, NM 87121-2336
Phone (505) 903-9603
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CoraB@darrinsplace.com | Darrin's Place LLC |
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-2022-0075 | NM | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darrins Place Inc | Past | Accepting new patients |
Interoperability endpoints
- corab@darrinsplace.com
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.
-
- Community/Behavioral Health Agency
- Espanola, NM
- NPI 1447890710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1275268419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7615 VIA COMETA SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871212336",
"telephone_number": "505-903-9603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7615 VIA COMETA SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871212336",
"telephone_number": "505-903-9603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "CORA",
"middle_name": "ANN",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-21",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "CTB-2022-0075",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "CoraB@darrinsplace.com",
"affiliation": "Y",
"affiliationName": "Darrin's Place LLC",
"address_1": "720 E Hacienda St",
"city": "Espanola",
"state": "NM",
"country_code": "US",
"postal_code": "875322523",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.