Active NPI
Manos de Dios
- Professional Counselor
- Albuquerque, NM
National Provider Identifier
1346641545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0071091
- Legal business name
- MANOS DE DIOS
- Practice address
- 318 Isleta Blvd SW
Albuquerque, NM 87105-3822 - Phone
- (505) 402-4228
- Fax
- (505) 877-0873
- NPI assigned
- Sep 8, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Susy Kay Ashcroft, MA, LPCC/LADAC
- Title
- Owner/ Provider
- Phone
- (505) 402-4228
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 065332 | NM | |
| Professional Counselor | 101YP2500X | 0071091 | NM | Primary |
Addresses
Primary practice location
318 Isleta Blvd SW
Albuquerque, NM 87105-3822
Mailing address
420 Cherokee Rd NW
Albuquerque, NM 87107-3513
Phone (505) 402-4228
National Provider Directory
National Provider DirectoryLocations
318 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 301-6857
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Albuquerque, NM
- NPI 1518195270
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410134400000",
"number": "1346641545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 CHEROKEE RD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871073513",
"telephone_number": "505-402-4228",
"fax_number": "505-877-0873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 ISLETA BLVD SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871053822",
"telephone_number": "505-402-4228",
"fax_number": "505-877-0873"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANOS DE DIOS",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-08",
"last_updated": "2014-09-08",
"status": "A",
"authorized_official_last_name": "ASHCROFT",
"authorized_official_first_name": "SUSY",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "OWNER/ PROVIDER",
"authorized_official_telephone_number": "505-402-4228",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MA, LPCC/LADAC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "065332",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0071091",
"primary": true
}
],
"identifiers": [],
"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 8, 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.