Active NPI
Sky Fiske, LPCC
- Professional Counselor
- Albuquerque, NM
National Provider Identifier
1407361439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CTB-2023-0803
- Practice address
- 707 Broadway Blvd NE
Albuquerque, NM 87102-2360 - Phone
- (505) 345-8471
- NPI assigned
- Dec 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CTB-2023-0803 | NM | Primary |
Addresses
Primary practice location
707 Broadway Blvd NE
Albuquerque, NM 87102-2360
Mailing address
87 Seabell Rd
Belen, NM 87002-6359
Phone (505) 527-6387
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CTB-2023-0803 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central New Mexico Counseling Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Los Lunas, NM
- NPI 1922399880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1407361439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 SEABELL RD",
"city": "BELEN",
"state": "NM",
"postal_code": "870026359",
"telephone_number": "505-527-6387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 BROADWAY BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022360",
"telephone_number": "505-345-8471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISKE",
"first_name": "SKY",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-13",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "CTB-2023-0803",
"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 Jan 31, 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.