Hailey Chavez, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

CAMF0214301 Issued in NM

Practice address

4253 Montgomery Blvd NE Ste G130
Albuquerque, NM 87109-1106

Phone

(505) 554-1283

NPI assigned

Nov 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grace Therapy Services, LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1821561911

  Marriage & Family Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1396348306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4273 MONTGOMERY BLVD NE STE K220",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096748",
            "telephone_number": "505-554-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4253 MONTGOMERY BLVD NE STE G130",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091106",
            "telephone_number": "505-554-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "HAILEY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CAMF0214301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45957819",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felisha Erica Elizabeth Chavez
• Francisco Jose Chavez, LMSW
• Gerald Anthony Chavez, PHD
• Gregory Daniel Chavez, PHARM D
• Guadalupe Chavez
• Jacklyn Chavez, PA-C
• Jacqueline Chavez
• Jazmine Chavez, RDH
• Jennifer Chavez
• Jennifer Chavez, PT

• Marriage & Family Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Marriage & Family Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.