Active NPI
Andres Miguel Duran, LPCC
- Professional Counselor
- Albuquerque, NM
National Provider Identifier
1356776538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CCMH0183121
- Practice address
- 7850 Jefferson St NE Ste 300
Albuquerque, NM 87109-4314 - Phone
- (505) 884-1114
- NPI assigned
- Sep 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CCMH0183121 | NM | Primary |
Addresses
Primary practice location
7850 Jefferson St NE Ste 300
Albuquerque, NM 87109-4314
Mailing address
6908 Astair Ave NW
Albuquerque, NM 87120-4422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76580032 | Medicaid | NM |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.sageclinic.org | Other | |
| Other URL | Work | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6303 4TH St NW
Suite 1
Los Ranchos, NM 87107-5855
Phone (505) 903-4413
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CCMH0183121 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Engage and Ignite Counseling | Current | Accepting new patients |
Locations
6303 4th St NW
Ste 1
Los Ranchos, NM 87107
Phone (505) 321-0906
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.
-
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1346836244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1356776538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6908 ASTAIR AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871204422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7850 JEFFERSON ST NE STE 300",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094314",
"telephone_number": "505-884-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAN",
"first_name": "ANDRES",
"middle_name": "MIGUEL",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-06",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "CCMH0183121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "76580032",
"state": "NM"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.sageclinic.org",
"affiliation": "N",
"endpointDescription": "Sage Neuroscience Center",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "other",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "other",
"address_1": "7850 Jefferson St NE Ste 300",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871094314",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Work",
"affiliation": "N",
"endpointDescription": "Clinic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "NA",
"address_1": "7850 Jefferson St NE Ste 300",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871094314",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.