Individual provider Active NPI

Robert F. Wilcox, LPCC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1366655300
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2052 Issued in NM
Practice address
3901 Louisiana NE Ste 2
Accelerated Family Counseling
Albuquerque, NM 87110
Phone
(505) 888-1686
Fax
(505) 888-1683
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2052 NM Primary
Mental Health Counselor 101YM0800X 0161861 NM

Addresses

Primary practice location

3901 Louisiana NE Ste 2
Accelerated Family Counseling
Albuquerque, NM 87110

Mailing address

11104 Pinon Azul NW
Albuquerque, NM 87114
Phone (505) 803-0501

Other identifiers 3

IdentifierTypeStateIssuer
M1855MedicaidNM
NM600109MedicaidNM
NM1919MedicaidNM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409001184 NM Practitioner - Mental Health Counselor 2466890512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
California University of Science and Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albuquerque Guidance CenterGroup PAC ID 5991063182, 3 clinicians

Practice addresses (Care Compare)

1271 Girard Blvd NE
Albuquerque, NM 87106-1805
Phone (505) 750-8866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0161861NMMDMental Health Counselor
2052NMMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Albuquerque Guidance Center Mental Health CurrentSince Feb 24, 2024 Accepting new patients

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1366655300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11104 PINON AZUL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87114",
            "telephone_number": "505-803-0501",
            "fax_number": "505-323-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 LOUISIANA NE STE 2",
            "address_2": "ACCELERATED FAMILY COUNSELING",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87110",
            "telephone_number": "505-888-1686",
            "fax_number": "505-888-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "ROBERT",
        "middle_name": "F.",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "2052",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0161861",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M1855",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NM600109",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NM1919",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.