Derek Colin Valdo

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SWB-2024-0852 Issued in NM

Practice address

1 Sagebrush St SW
Albuquerque, NM 87105-3942

Phone

(505) 869-4463

Fax

(505) 869-4888

NPI assigned

Aug 21, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1306679717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "ISLETA",
            "state": "NM",
            "postal_code": "870220580",
            "telephone_number": "505-869-3200",
            "fax_number": "505-869-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAGEBRUSH ST SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871053942",
            "telephone_number": "505-869-4463",
            "fax_number": "505-869-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDO",
        "first_name": "DEREK",
        "middle_name": "COLIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "SWB-2024-0852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shea Ann Valdez
• Sheila Valdez
• Tania Valdez, LMSW
• Travis Valdez
• Trudi L. Valdez, MSW
• Jennifer M Valdo, BSW
• Talisyn Justyne Vale
• Gautam Kishore Valecha, MBBS
• Valencia Acupuncture
• Estefania Valencia Lozoya

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.