NPIMap

Organization Active NPI

Counseling Abq

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1336558782
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-05056 Issued in NM
Legal business name
COUNSELING ABQ
Practice address
7001 Menaul Blvd NE
Suite B
Albuquerque, NM 87110-3695
Phone
(505) 220-8512
NPI assigned
Aug 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Authorized official

Name
Denise Decker, LISW
Title
Owner
Phone
(505) 220-8512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X I-05056 NM Primary

Addresses

Primary practice location

7001 Menaul Blvd NE
Suite B
Albuquerque, NM 87110-3695

Mailing address

7001 Menaul Blvd NE
Suite B
Albuquerque, NM 87110-3695
Phone (505) 220-8512

Other identifiers 1

IdentifierTypeStateIssuer
84779055MedicaidNM

National Provider Directory

National Provider Directory

Locations

7001 Menaul Blvd NE
Ste B
Albuquerque, NM 87110
Phone (505) 220-8512

2900 Louisiana Blvd NE
Ste J3
Albuquerque, NM 87110
Phone (505) 209-2442

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1336558782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 MENAUL BLVD NE",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103695",
            "telephone_number": "505-220-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 MENAUL BLVD NE",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103695",
            "telephone_number": "505-220-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING ABQ",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-220-8512",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-05056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84779055",
            "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 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.