Individual provider Active NPI

Joseph B Valencia, LSAA

  • Addiction (Substance Use Disorder) Counselor
  • Albuquerque, NM
National Provider Identifier
1356177588
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CTB-2024-0225 Issued in NM
Practice address
9421 Coors Blvd NW Ste J&K
Albuquerque, NM 87114-5025
Phone
(505) 445-2400
NPI assigned
Sep 12, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CTB-2024-0225 NM Primary

Addresses

Primary practice location

9421 Coors Blvd NW Ste J&K
Albuquerque, NM 87114-5025

Mailing address

10532 Portofino Dr NW
Albuquerque, NM 87114-3868
Phone (505) 720-6404

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

State licenses

LicenseStateTypeSpecialty
CTB-2024-0225NMMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Treatment of New Mexico LP CurrentSince Sep 15, 2024 Accepting new patients

Locations

9421 Coors Blvd NW
Ste Jk
Albuquerque, NM 87114
Phone (505) 445-2400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1356177588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10532 PORTOFINO DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871143868",
            "telephone_number": "505-720-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9421 COORS BLVD NW STE J&K",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145025",
            "telephone_number": "505-445-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "JOSEPH",
        "middle_name": "B",
        "credential": "LSAA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CTB-2024-0225",
            "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 12, 2024; 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.