Individual provider Active NPI

Gregory Wauneka, MA, LPCC, NCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1295962439
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0150061 Issued in NM
Practice address
625 Truman St. NE
Albuquerque, NM 87110-3972
Phone
(505) 938-7131
NPI assigned
Jun 15, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0111731 NM
Professional Counselor 101YP2500X 0150061 NM Primary

Addresses

Primary practice location

625 Truman St. NE
Albuquerque, NM 87110-3972

Mailing address

625 Truman St NE
Albuquerque, NM 87110-6443
Phone (505) 938-7131

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0111731NMMDMental Health Counselor
0150061NMMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1295962439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 TRUMAN ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106443",
            "telephone_number": "505-938-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 TRUMAN ST. NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103972",
            "telephone_number": "505-938-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAUNEKA",
        "first_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "MA, LPCC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0111731",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0150061",
            "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 Mar 4, 2013; 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.