Individual provider Active NPI

Kristine Aguirre, LCSW

  • Counselor
  • Albuquerque, NM
National Provider Identifier
1285005314
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C-05115 Issued in NM
Practice address
8625 Golf Course Rd NW Ste B2
Albuquerque, NM 87114-5114
Phone
(505) 508-0808
Fax
(888) 896-8728
NPI assigned
Oct 15, 2015
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C-05115 NM Primary

Addresses

Primary practice location

8625 Golf Course Rd NW Ste B2
Albuquerque, NM 87114-5114

Mailing address

8625 Golf Course Rd NW Ste B2
Albuquerque, NM 87114-5114
Phone (505) 508-0808

Other identifiers 1

IdentifierTypeStateIssuer
87406039MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Www.ravencounseling.com Direct

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Raven Counseling and Wellness LLC Counselor CurrentSince Apr 27, 2025 Accepting new patients

Locations

8625 Golf Course Rd NW
Ste B2
Albuquerque, NM 87114
Phone (505) 508-0808

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1285005314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8625 GOLF COURSE RD NW STE B2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145114",
            "telephone_number": "505-508-0808",
            "fax_number": "888-896-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8625 GOLF COURSE RD NW STE B2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145114",
            "telephone_number": "505-508-0808",
            "fax_number": "888-896-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIRRE",
        "first_name": "KRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "C-05115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87406039",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Www.ravencounseling.com",
            "affiliation": "N",
            "endpointDescription": "Practice website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Adobe",
            "address_1": "8625 Golf Course Rd NW Ste B2",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871145114",
            "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 Dec 18, 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.

Verify at the official NPI Registry.