Organization Active NPI

Four Circles Healing, LLC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1407426141
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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, BHCNPI 1134768716
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
75972085MedicaidNM

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": "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.

Verify at the official NPI Registry.