NPIMap

Individual provider Active NPI

Theresa Jones, LMHC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1285035535
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0130051 Issued in NM
Practice address
5310 Sequoia Rd NW
Albuquerque, NM 87120-1249
Phone
(505) 836-7330
Fax
(505) 836-7424
NPI assigned
Sep 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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 0130051 NM Primary

Addresses

Primary practice location

5310 Sequoia Rd NW
Albuquerque, NM 87120-1249

Mailing address

5310 Sequoia Rd NW
Albuquerque, NM 87120-1249
Phone (505) 836-7330

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
0130051NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Familyworks, Inc Past Accepting new patients
Youth & Family Centered Services of NM, Inc Dba Desert Hills Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1285035535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 SEQUOIA RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201249",
            "telephone_number": "505-836-7330",
            "fax_number": "505-836-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 SEQUOIA RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201249",
            "telephone_number": "505-836-7330",
            "fax_number": "505-836-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "THERESA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0130051",
            "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 Sep 5, 2014; 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.