Jamie Lynne Douglas, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CTB-2023-0723 Issued in NM

Practice address

7007 Wyoming Blvd NE Ste D5
Albuquerque, NM 87109-3981

Phone

(505) 298-3303

NPI assigned

Oct 10, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Heal Thyself Counseling LLC

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1194642066
  NPD (past) Authorized official

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1407637937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 VERMONT ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103746",
            "telephone_number": "505-314-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 WYOMING BLVD NE STE D5",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093981",
            "telephone_number": "505-298-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "JAMIE",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2023-0723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas E. Weaver D.C.
• Amanda Anne Douglas
• Angela Douglas, MD
• Ashley N Douglas
• Daniel Joseph Douglas, RN
• Janet Douglas, ARNP
• Jean Douglas
• Kelsey Lynne Douglass, MSW
• Heather E Dountas, PAC
• Madison Suzanne Doutre, MD

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.