Organization Active NPI

Luna X2 LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1386004737
Registry record updated Feb 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0175141 Issued in NM
Legal business name
LUNA X2 LLC
Practice address
3301 Coors Blvd NW # 112R
Albuquerque, NM 87120-1292
Phone
(505) 228-4701
NPI assigned
Feb 28, 2016
Last updated
Feb 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2016

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

Authorized official

Name
Stella Aschenbrenner, LPCCNPI 1174872337
Title
Owner/Operator
Phone
(505) 228-4701

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
Community/Behavioral Health Agency 251S00000X 0175141 NM Primary

Addresses

Primary practice location

3301 Coors Blvd NW # 112R
Albuquerque, NM 87120-1292

Mailing address

3301 Coors Blvd NW # 112R
Albuquerque, NM 87120-1292
Phone (505) 228-4701

National Provider Directory

National Provider Directory

Locations

3301 Coors Blvd NW
#112R
Albuquerque, NM 87120
Phone (505) 228-4701

Practitioners & affiliated clinicians

Practitioners 1

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": "1456617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456617600000",
    "number": "1386004737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 COORS BLVD NW # 112R",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201292",
            "telephone_number": "505-228-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 COORS BLVD NW # 112R",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201292",
            "telephone_number": "505-228-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA X2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-28",
        "last_updated": "2016-02-28",
        "status": "A",
        "authorized_official_last_name": "ASCHENBRENNER",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "505-228-4701",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0175141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 28, 2016; 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.