Active NPI
Katherine Irish, LPCC, LPAT
- Mental Health Counselor
- Albuquerque, NM
National Provider Identifier
1316008618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5541
- Practice address
- 2929 Coors Blvd NW
Suite 201D
Albuquerque, NM 87120-1173 - Phone
- (505) 238-3520
- Fax
- (505) 867-6283
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5541 | NM | Primary |
| Mental Health Counselor | 101YM0800X | 3296 | NM |
Addresses
Primary practice location
2929 Coors Blvd NW
Suite 201D
Albuquerque, NM 87120-1173
Mailing address
PO Box 37
Placitas, NM 87043-0037
Phone (505) 238-3520
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18338267 | Medicaid | NM | |
| 23029 | Other | NM | LOVELACE SANDIA IHEALTH |
| NM100484 | Other | NM | VALUE OPTIONS |
| 1150415 | Other | NM | CIGNA |
| 00JN89 | Other | NM | BLUE CROSS BLUE SHIELD |
| 10006728 | Other | NM | LOVELACE SANDIA IHEALTH |
| 201014626 | Other | NM | PRESBYTERNIAN HEALTH PLAN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5541 | NM | MD | Mental Health Counselor |
| 3296 | NM | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376265600000",
"number": "1316008618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37",
"city": "PLACITAS",
"state": "NM",
"postal_code": "870430037",
"telephone_number": "505-238-3520",
"fax_number": "505-867-6283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 COORS BLVD NW",
"address_2": "SUITE 201D",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871201173",
"telephone_number": "505-238-3520",
"fax_number": "505-867-6283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRISH",
"first_name": "KATHERINE",
"name_prefix": "Mrs.",
"credential": "LPCC, LPAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2013-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "5541",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "3296",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18338267",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE SANDIA IHEALTH",
"identifier": "23029",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "NM100484",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1150415",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00JN89",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE SANDIA IHEALTH",
"identifier": "10006728",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERNIAN HEALTH PLAN",
"identifier": "201014626",
"state": "NM"
}
],
"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 Aug 12, 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.