Individual provider Active NPI

Melanie S. Furry, LMHC

  • Counselor
  • Los Lunas, NM
National Provider Identifier
1407924111
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0094981 Issued in NM
Practice address
303 Luna St SE
Los Lunas, NM 87031-9277
Phone
(505) 565-1619
Fax
(505) 565-1620
NPI assigned
Dec 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0094981 NM Primary

Addresses

Primary practice location

303 Luna St SE
Los Lunas, NM 87031-9277

Mailing address

9900 Spain Rd NE Apt K1058
Albuquerque, NM 87111-1970
Phone (505) 565-1619

Other identifiers 1

IdentifierTypeStateIssuer
93709056MedicaidNM

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
0094981NMMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
La Buena Vida, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407924111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 SPAIN RD NE APT K1058",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111970",
            "telephone_number": "505-565-1619",
            "fax_number": "505-565-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 LUNA ST SE",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870319277",
            "telephone_number": "505-565-1619",
            "fax_number": "505-565-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURRY",
        "first_name": "MELANIE",
        "middle_name": "S.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "0094981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93709056",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Lunas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.