Southwest Pueblo Consultants and Counseling Services, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

FA0117647 Issued in NM

Legal business name

SOUTHWEST PUEBLO CONSULTANTS AND COUNSELING SERVICES, LLC

Practice address

5020 San Pedro CT NE
Albuquerque, NM 87109-2515

Phone

(505) 554-8302

Fax

(505) 881-2646

NPI assigned

Mar 3, 2015

Organization subpart

No

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

Authorized official

Name

Miss Rochelle Robyn Atencio, LISW

Title

Behavioral Health Therapist

Phone

(505) 554-8302

Specialties & licenses 2

Addresses

Tax ID family

Southwest Pueblo Consultants and Counseling Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southwest Pueblo Consultants & Counseling Services

  • Case Management Agency
  • Albuquerque, NM
  • NPI 1841686342
  NPD tax ID

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1356733158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 SAN PEDRO CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092515",
            "telephone_number": "505-554-8302",
            "fax_number": "505-881-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 SAN PEDRO CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092515",
            "telephone_number": "505-554-8302",
            "fax_number": "505-881-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PUEBLO CONSULTANTS AND COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "ATENCIO",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_middle_name": "ROBYN",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "505-554-8302",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NM",
            "license": "FA0117647",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NM",
            "license": "FAO117647",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Oral and Maxillofacial Surgeons LLC
• Southwest Orthopaedic Physical Therapy LLC
• Southwest Podiatry Center PC
• Southwest Psychotherapy, Inc
• Southwest Pueblo Consultants & Counseling Services
• Southwest Recovery and Wellness LLC
• Southwest Residential Living
• Southwest Respiratory LLC
• Southwest Retina PC
• Southwest Services for the Deaf, Inc

• Adult Mental Health Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Adult Mental Health Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.