Individual provider Active NPI

Linda K Klauschie

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1285014134
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0121671 Issued in NM
Practice address
3901 Georgia St NE
Suite a-4
Albuquerque, NM 87110-1359
Phone
(505) 453-7307
Fax
(505) 293-0617
NPI assigned
Jun 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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 0121671 NM Primary

Addresses

Primary practice location

3901 Georgia St NE
Suite a-4
Albuquerque, NM 87110-1359

Mailing address

3901 Georgia St NE
Suite a-4
Albuquerque, NM 87110-1359
Phone (505) 453-7307

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
0121671NMMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1285014134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 GEORGIA ST NE",
            "address_2": "SUITE A-4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101359",
            "telephone_number": "505-453-7307",
            "fax_number": "505-293-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 GEORGIA ST NE",
            "address_2": "SUITE A-4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101359",
            "telephone_number": "505-453-7307",
            "fax_number": "505-293-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAUSCHIE",
        "first_name": "LINDA",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0121671",
            "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 Jun 5, 2015; 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.