Organization Active NPI

Manos de Dios

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1346641545
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0071091 Issued in NM
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

Updated by the provider on Sep 8, 2014

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/LADACNPI 1518195270
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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 065332 NM
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.