Active NPI
Four Circles Healing, LLC
- Mental Health Counselor
- Albuquerque, NM
National Provider Identifier
1407426141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- FOUR CIRCLES HEALING, LLC
- Practice address
- 4004 Carlisle Blvd. NE
Suite A2
Albuquerque, NM 87107 - Phone
- (505) 315-8213
- NPI assigned
- Jun 25, 2021
- Last updated
- Jun 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Freida A. Trujillo, MA, LPCC, BHC
- Title
- Clinical MH Counselor/Owner
- Phone
- (505) 315-8213
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4004 Carlisle Blvd. NE
Suite A2
Albuquerque, NM 87107
Mailing address
6035 Cyonus Avenue NW
Albuquerque, NM 87114
Phone (505) 315-8213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75972085 | Medicaid | NM |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Professional Counselor
- Albuquerque, NM
- NPI 1134768716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624579200000",
"number": "1407426141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6035 CYONUS AVENUE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87114",
"telephone_number": "505-315-8213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4004 CARLISLE BLVD. NE",
"address_2": "SUITE A2",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87107",
"telephone_number": "505-315-8213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUR CIRCLES HEALING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-25",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A",
"authorized_official_last_name": "TRUJILLO",
"authorized_official_first_name": "FREIDA",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "CLINICAL MH COUNSELOR/OWNER",
"authorized_official_telephone_number": "505-315-8213",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MA, LPCC, BHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "75972085",
"state": "NM"
}
],
"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 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.