Sandia Peak Psychotherapy

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SANDIA PEAK PSYCHOTHERAPY

Practice address

1303 7TH St NW
Albuquerque, NM 87102-1243

Phone

(617) 435-6565

NPI assigned

Sep 25, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Marcos Reyna, LPCCNPI 1275884785

Title

Director

Phone

(617) 435-6565

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcos A Reyna, LPCC

  • Professional Counselor
  • Albuquerque, NM
  • NPI 1275884785
  NPD Authorized official

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1295552644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 7TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021243",
            "telephone_number": "617-435-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 7TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021243",
            "telephone_number": "617-435-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDIA PEAK PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "REYNA",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-435-6565",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandia Oral Surgery and Dental Implant Center
• Sandia Orthodontics, LLC
• Sandia Oxygen LLC
• Sandia Pain Center LLC
• Sandia Peak Dental, LLC
• Sandia Pediatric Dentistry
• Sandia Pelvic Health and Wellness LLC
• Sandia Pharmacy LLC
• Sandia Plastic Surgery, PC
• Sandia Psychiatric Services PC

• Professional Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.