Individual provider Active NPI

Peter John Walsh, MSW

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1316175664
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
X-06620 Issued in NM
Practice address
7301 Indian School Rd NE
Ste a
Albuquerque, NM 87110-4504
Phone
(505) 266-0441
Fax
(505) 266-0504
NPI assigned
Jun 25, 2009
Last updated
Aug 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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 X-06620 NM Primary

Addresses

Primary practice location

7301 Indian School Rd NE
Ste a
Albuquerque, NM 87110-4504

Mailing address

7301 Indian School Rd NE
Ste a
Albuquerque, NM 87110-4504
Phone (505) 266-0441

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
I20250110002700 NM Practitioner - Clinical Social Worker 0143657965 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X-06620NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Walsh Counseling Services LLC CurrentSince Oct 21, 2024 Accepting new patients
Walsh Counseling Services LLC CurrentSince Aug 28, 2021 Accepting new patients
Dragonfly Counseling Associates Inc. Past Accepting new patients

Locations

2155 Louisiana Blvd NE
Ste 4200
Albuquerque, NM 87110
Phone (505) 266-0441

7301 Indian School Rd NE
Ste A
Albuquerque, NM 87110
Phone (505) 266-0441

Organizations & group practices 3

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1316175664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 INDIAN SCHOOL RD NE",
            "address_2": "STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104504",
            "telephone_number": "505-266-0441",
            "fax_number": "505-266-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 INDIAN SCHOOL RD NE",
            "address_2": "STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104504",
            "telephone_number": "505-266-0441",
            "fax_number": "505-266-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "X-06620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.