Individual provider Active NPI

Dana J Paine, LPCC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1336227487
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0095841 Issued in NM
Practice address
920 Cardenas Dr NE
Albuquerque, NM 87108-1720
Phone
(505) 266-8166
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0095841 NM Primary

Addresses

Primary practice location

920 Cardenas Dr NE
Albuquerque, NM 87108-1720

Mailing address

920 Cardenas Dr NE
Albuquerque, NM 87108-1720
Phone (505) 266-8166

Other identifiers 1

IdentifierTypeStateIssuer
202008008OtherNMPRESBYTERIAN PROVIDER ID

Other names 1

  • A Path With Heart Other name

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
I20240520000804 NM Practitioner - Mental Health Counselor 0446669840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dana Paine Enterprises LLCGroup PAC ID 4486063880, 11 clinicians

Practice addresses (Care Compare)

920 Cardenas Dr NE
A Path With Heart
Albuquerque, NM 87108-1720
Phone (505) 266-8166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0095841NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dana Paine Enterprises LLC CurrentSince Oct 16, 2014 Accepting new patients

Locations

920 Cardenas Dr NE
#A
Albuquerque, NM 87108
Phone (505) 266-8168

920 Cardenas Dr NE
Albuquerque, NM 87108
Phone (505) 266-8166

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1336227487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 CARDENAS DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081720",
            "telephone_number": "505-266-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 CARDENAS DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081720",
            "telephone_number": "505-266-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINE",
        "first_name": "DANA",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0095841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN PROVIDER ID",
            "identifier": "202008008",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "A PATH",
            "last_name": "HEART",
            "middle_name": "WITH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.