Angela Renee Gautier, MS LPCC
Individual provider Active NPI Professional Counselor · Socorro, NM
NPI 1285795039 · NPPES record last updated Jan 13, 2026
Key facts
- NPI
- 1285795039
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- CCMH0201341 (NM)
- Practice address
- 801 Leroy PL
Socorro, NM 87801-4680 - Phone
- (575) 835-6619
- Fax
- (575) 835-6001
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Thrive Counseling LLC
Practice addresses (Care Compare)
6200 Seagull St NE
Suite C
Albuquerque, NM 87109-2547
Phone (855) 284-7483
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260225003957 | NM | Practitioner - Mental Health Counselor | 7618458837 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CCMH0201341 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Mental Health | Current |
Accepting new patients |
Locations
6200 Seagull St NE
Ste C
Albuquerque, NM 87109
Phone (505) 310-2114
2600 American Rd SE
Ste 215
Rio Rancho, NM 87124
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CCMH0201341 | NM | Yes |
Addresses
Primary practice location
801 Leroy PL
Socorro, NM 87801-4680
Mailing address
801 Leroy PL
Socorro, NM 87801-4680
Phone (575) 835-6619
Other practice location 1
PO Box 748465
Atlanta, GA 30374-8465
Phone (855) 284-7483
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M18633 | Other | MA | BC BC |
| 703136 | Medicaid | MA | |
| 1303287 | Other | MA | MBHP |
| 1303287 | Medicaid | MA | |
| NP01332 | Other | MA | BMC |
| 042611055 | Other | MA | TAX ID |
Other providers in Socorro, NM
- Eddie Garcia
- Jocelyn Garcia
- Natalia Garcia
- Jesse T Garza
- Athena Marie Gassoumis
- Maurice Geurts
- Goforth Chiropractic, LLC
- Phillip Darin Goforth
- Timothy Paul Gonzales
- Amy Dominique Gonzalez
All providers in Socorro, NM · Professional Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.