Active NPI
Alyce Kennedy-Curl, LPCC
- Counselor
- Albuquerque, NM
National Provider Identifier
1407867609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LMHC: 0077181
- Practice address
- 3200 Carlisle Blvd NE
Suite 222
Albuquerque, NM 87110-1600 - Phone
- (505) 889-4584
- Fax
- (505) 867-7293
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LMHC: 0077181 | NM | Primary |
| Family Medicine Physician | 207Q00000X | MD: 87-91 | NM |
Addresses
Primary practice location
3200 Carlisle Blvd NE
Suite 222
Albuquerque, NM 87110-1600
Mailing address
3200 Carlisle Blvd. NE
Suite 222
Albuquerque, NM 87110-1600
Phone (505) 889-4584
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65808363 | Medicaid | NM |
Other names 1
- Alyce Kennedy
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 |
|---|---|---|---|
| LMHC: 0077181 | NM | MD | Counselor |
| MD: 87-91 | NM | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351123200000",
"number": "1407867609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 CARLISLE BLVD. NE",
"address_2": "SUITE 222",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871101600",
"telephone_number": "505-889-4584",
"fax_number": "505-867-2383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 CARLISLE BLVD NE",
"address_2": "SUITE 222",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871101600",
"telephone_number": "505-889-4584",
"fax_number": "505-867-7293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY-CURL",
"first_name": "ALYCE",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2012-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "LMHC: 0077181",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD: 87-91",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65808363",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALYCE",
"last_name": "KENNEDY",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.