Individual provider Active NPI

Carolynne Colby-Schmeltzer, M.A., L.P.C.C.

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1346361920
Registry record updated Sep 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0110811 Issued in NM
Practice address
3620 Wyoming Blvd NE Ste 216
Albuquerque, NM 87111-3289
Phone
(505) 238-1717
Fax
(505) 292-1081
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2014

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 0110811 NM Primary

Addresses

Primary practice location

3620 Wyoming Blvd NE Ste 216
Albuquerque, NM 87111-3289

Mailing address

10516 Sierra Bonita Ave NE
Albuquerque, NM 87111-3828
Phone (505) 238-1717

Other identifiers 1

IdentifierTypeStateIssuer
57988871MedicaidNM

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0110811NMMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411257600000",
    "number": "1346361920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10516 SIERRA BONITA AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113828",
            "telephone_number": "505-238-1717",
            "fax_number": "505-292-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 WYOMING BLVD NE STE 216",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113289",
            "telephone_number": "505-238-1717",
            "fax_number": "505-292-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBY-SCHMELTZER",
        "first_name": "CAROLYNNE",
        "credential": "M.A., L.P.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2014-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0110811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57988871",
            "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 Sep 21, 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.