Organization Active NPI

Hester Balsam, MSW, LCSW, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Albuquerque, NM
National Provider Identifier
1386161354
Registry record updated Aug 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
I-05220 Issued in NM
Legal business name
HESTER BALSAM, MSW, LCSW, LLC
Practice address
120 Ortega Rd NE
Albuquerque, NM 87113-1430
Phone
(505) 899-1020
NPI assigned
Aug 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2017

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

Authorized official

Name
Hester Balsam
Title
Owner
Phone
(505) 899-1020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X I-05220 NM Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

120 Ortega Rd NE
Albuquerque, NM 87113-1430

Mailing address

120 Ortega Rd NE
Albuquerque, NM 87113-1430
Phone (505) 899-1020

National Provider Directory

National Provider Directory

Locations

1306 Rio Grande Blvd NW
Ste B
Albuquerque, NM 87104
Phone (505) 265-4943

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503964800000",
    "number": "1386161354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ORTEGA RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131430",
            "telephone_number": "505-899-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ORTEGA RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131430",
            "telephone_number": "505-899-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HESTER BALSAM, MSW, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2017-08-29",
        "status": "A",
        "authorized_official_last_name": "BALSAM",
        "authorized_official_first_name": "HESTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-899-1020"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NM",
            "license": "I-05220",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 29, 2017; 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.