Individual provider Active NPI

Alyce Kennedy-Curl, LPCC

  • Counselor
  • Albuquerque, NM
National Provider Identifier
1407867609
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LMHC: 0077181 Issued in NM
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

Updated by the provider on Oct 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
65808363MedicaidNM

Other names 1

  • Alyce Kennedy Former name

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

LicenseStateTypeSpecialty
LMHC: 0077181NMMDCounselor
MD: 87-91NMMDFamily 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.

Verify at the official NPI Registry.