Individual provider Active NPI

Mary Frances Baca, MA, LPCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1386799278
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0983 Issued in NM
Practice address
8001 Mountain Road PL NE
Albuquerque, NM 87110-7808
Phone
(505) 315-7397
Fax
(505) 433-4565
NPI assigned
Jan 24, 2007
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0983 NM Primary

Addresses

Primary practice location

8001 Mountain Road PL NE
Albuquerque, NM 87110-7808

Mailing address

PO Box 6601
Albuquerque, NM 87197-6601
Phone (505) 315-7397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0983NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Odyssey Counseling LLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

5827 4th St NW
Albuquerque, NM 87107

8001 Mountain Road Pl NE
Albuquerque, NM 87110
Phone (505) 315-7397

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1386799278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6601",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871976601",
            "telephone_number": "505-315-7397",
            "fax_number": "505-433-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 MOUNTAIN ROAD PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107808",
            "telephone_number": "505-315-7397",
            "fax_number": "505-433-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACA",
        "first_name": "MARY",
        "middle_name": "FRANCES",
        "name_prefix": "Miss",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0983",
            "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 Jun 24, 2024; 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.