Organization Active NPI

Engage and Ignite Counseling

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1346836244
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ENGAGE AND IGNITE COUNSELING
Practice address
6303 4TH St NW
Suite 1
Albuquerque, NM 87107
Phone
(505) 903-4413
Fax
(505) 903-7183
NPI assigned
Dec 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Mrs. Elizabeth K Daniels, LPCCNPI 1922407519
Title
President/Owner
Phone
(505) 903-4413

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
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

6303 4TH St NW
Suite 1
Albuquerque, NM 87107

Mailing address

6303 4TH St NW
Suite 1
Albuquerque, NM 87107
Phone (505) 903-4413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240226000280 NM Part B Supplier - Clinic/Group Practice 9830534213 Receives reassigned benefits from 5 practitioners
Practice locations: Los Ranchos, NM

National Provider Directory

National Provider Directory

Locations

3846 Rio Grande Blvd NW
Ste A
Albuquerque, NM 87107
Phone (505) 903-4413

6303 4th St NW
Ste 1
Los Ranchos, NM 87107
Phone (505) 321-0906

Practitioners & affiliated clinicians

Practitioners 9

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": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1346836244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 4TH ST NW",
            "address_2": "SUITE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87107",
            "telephone_number": "505-903-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 4TH ST NW",
            "address_2": "SUITE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87107",
            "telephone_number": "505-903-4413",
            "fax_number": "505-903-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGAGE AND IGNITE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "505-903-4413",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.