Individual provider Active NPI

Lee Gilbert Swanson, LMFT

  • Marriage & Family Therapist
  • Albuquerque, NM
National Provider Identifier
1306935481
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0090911 Issued in NM
Practice address
1101 Medical Arts Ave NE BLDG 3
Albuquerque, NM 87102-2706
Phone
(505) 842-5300
Fax
(505) 765-1100
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0090911 NM Primary

Addresses

Primary practice location

1101 Medical Arts Ave NE BLDG 3
Albuquerque, NM 87102-2706

Mailing address

1101 Medical Arts Ave NE BLDG 3
Albuquerque, NM 87102-2706
Phone (505) 842-5300

Other identifiers 2

IdentifierTypeStateIssuer
40404226MedicaidNM
NM00JN72OtherNMBCBS

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
I20250128002121 NM Practitioner - Marriage and Family Therapist 3476082082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Fe Psychology, LLCGroup PAC ID 0547563058, 7 clinicians

Practice addresses (Care Compare)

2204 Brothers Rd
Suite B
Santa Fe, NM 87505-6975
Phone (505) 795-5566

2204 Brothers Rd B
Santa FE, NM 87505-6975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0090911NMMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Fe Psychology, LLC CurrentSince Nov 24, 2024 Accepting new patients

Locations

2204 Brothers Rd
Ste B
Santa Fe, NM 87505
Phone (505) 699-3681

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306935481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MEDICAL ARTS AVE NE BLDG 3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022706",
            "telephone_number": "505-842-5300",
            "fax_number": "505-765-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MEDICAL ARTS AVE NE BLDG 3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022706",
            "telephone_number": "505-842-5300",
            "fax_number": "505-765-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "LEE",
        "middle_name": "GILBERT",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "0090911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40404226",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM00JN72",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.