Organization Active NPI

Christine Wade-Becher Therapy, LLC

Doing business as Dandelion Counseling

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1356899785
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-07971 Issued in NM
Legal business name
CHRISTINE WADE-BECHER THERAPY, LLC
Doing business as
Dandelion Counseling
Practice address
231 Sierra Dr SE
Albuquerque, NM 87108-5632
Phone
(505) 220-3463
NPI assigned
Sep 14, 2016
Last updated
Oct 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Authorized official

Name
Christine Alethea Wade-Becher, LCSWNPI 1447583935
Title
Sole Owner
Phone
(505) 220-3643

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-07971 NM Primary

Addresses

Primary practice location

231 Sierra Dr SE
Albuquerque, NM 87108-5632

Mailing address

PO Box 14837
Albuquerque, NM 87191-4837
Phone (505) 220-3643

Other identifiers 1

IdentifierTypeStateIssuer
1447583935OtherNMINDIVIDUAL NPI NUMBER

Other names 1

  • Dandelion Counseling Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170914000174 NM Part B Supplier - Clinic/Group Practice 6901179993 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

231 Sierra Dr SE
Albuquerque, NM 87108
Phone (505) 220-3463

231 Sierra Dr SE
Ste 1
Albuquerque, NM 87108
Phone (505) 220-3643

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1356899785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14837",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871914837",
            "telephone_number": "505-220-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 SIERRA DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871085632",
            "telephone_number": "505-220-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE WADE-BECHER THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "WADE-BECHER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "ALETHEA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "505-220-3643",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-07971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1447583935",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dandelion Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dandelion Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 16, 2020; 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.