Individual provider Active NPI

Laura Dianne Hibbs, LPCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1306510276
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CTB-2024-0687 Issued in NM
Practice address
8214 2ND St NW Ste C
Albuquerque, NM 87114-1091
Phone
(505) 317-3792
Fax
(505) 792-6611
NPI assigned
Aug 4, 2021
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CTB-2024-0687 NM Primary

Addresses

Primary practice location

8214 2ND St NW Ste C
Albuquerque, NM 87114-1091

Mailing address

PO Box 15681
Rio Rancho, NM 87174-0681
Phone (505) 317-3792

Other practice location 1

2424 Juan Tabo Blvd NE
Albuquerque, NM 87112-1818
Phone (505) 317-3792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204001397 NM Practitioner - Mental Health Counselor 1456887207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wise Mind CounselingGroup PAC ID 5193153526, 8 clinicians

Practice addresses (Care Compare)

8214 2ND St NW
Suite C
Albuquerque, NM 87114-1091
Phone (505) 317-3792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CTB-2024-0687NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Mind Counseling CurrentSince Nov 26, 2024 Accepting new patients
Age to Age Counseling PC Mental Health PastSince Aug 1, 2021 Accepting new patients

Locations

2424 Juan Tabo Blvd NE
Albuquerque, NM 87112
Phone (505) 317-3792

8214 2nd St NW
Ste C
Albuquerque, NM 87114
Phone (505) 317-3792

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1306510276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15681",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871740681",
            "telephone_number": "505-317-3792",
            "fax_number": "505-926-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8214 2ND ST NW STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141091",
            "telephone_number": "505-317-3792",
            "fax_number": "505-792-6611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2424 Juan Tabo Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871121818",
            "country_code": "US",
            "telephone_number": "505-317-3792",
            "fax_number": "505-792-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIBBS",
        "first_name": "LAURA",
        "middle_name": "DIANNE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2024-0687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.