Organization Active NPI

Wellness Matters Collective, LLC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1386381002
Registry record updated May 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WELLNESS MATTERS COLLECTIVE, LLC
Practice address
8601 Casa Vistosa CT NW
Albuquerque, NM 87120-2903
Phone
(505) 362-5762
NPI assigned
May 14, 2022
Last updated
May 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2022

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

Authorized official

Name
Rebeca Gurrola, LPCCNPI 1205287539
Title
Cofounder
Phone
(505) 362-5762

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

8601 Casa Vistosa CT NW
Albuquerque, NM 87120-2903

Mailing address

8601 Casa Vistosa CT NW
Albuquerque, NM 87120-2903
Phone (505) 362-5762

National Provider Directory

National Provider Directory

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": "1652486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652486400000",
    "number": "1386381002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 CASA VISTOSA CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202903",
            "telephone_number": "505-362-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 CASA VISTOSA CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202903",
            "telephone_number": "505-362-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MATTERS COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-14",
        "last_updated": "2022-05-14",
        "certification_date": "2022-05-14",
        "status": "A",
        "authorized_official_last_name": "GURROLA",
        "authorized_official_first_name": "REBECA",
        "authorized_official_title_or_position": "COFOUNDER",
        "authorized_official_telephone_number": "505-362-5762",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 May 14, 2022; 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.