Anne Sharon Palma, MA,MS,LPCC, SLP-CCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0814 Issued in NM

Practice address

4216 Balloon Park Rd NE
Albuquerque, NM 87109-5801

Phone

(505) 344-5470

Fax

(505) 344-9343

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science

State licenses

Practice roles

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.

• Cooperative Educational Services

  • Local Education Agency (LEA)
  • Albuquerque, NM
  • NPI 1720132707
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1356563191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CEBOLLA LOOP",
            "city": "JEMEZ SPRINGS",
            "state": "NM",
            "postal_code": "870259241",
            "telephone_number": "505-249-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 BALLOON PARK RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095801",
            "telephone_number": "505-344-5470",
            "fax_number": "505-344-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMA",
        "first_name": "ANNE",
        "middle_name": "SHARON",
        "credential": "MA,MS,LPCC, SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0814",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "245371",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP-CCC, ASHA",
            "identifier": "00321752",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPCC",
            "identifier": "0814",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94139512",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Pallas
• Gabriel Palley, MD
• Toby Palley, MD
• Palliative and Transitional Care of NM LLC
• Samuel L Pallin, M.D.
• Apryl Palmer, LPCC
• Ashley Palmer, RN
• Brooke Ann Palmer, RN
• Bryne T Palmer
• Carina Louise Palmer, LCSW

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.