Active NPI
Robert Elliott Lewis, THERAPIST II
- Marriage & Family Therapist
- Los Lunas, NM
National Provider Identifier
1417104183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0138
- Practice address
- 750 Morris Rd SE
Los Lunas, NM 87031-5242 - Phone
- (505) 866-2318
- NPI assigned
- Aug 25, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0138 | NM | |
| Marriage & Family Therapist | 106H00000X | 0138 | NM | Primary |
Addresses
Primary practice location
750 Morris Rd SE
Los Lunas, NM 87031-5242
Mailing address
2551 Coors Blvd NW
Albuquerque, NM 87120-1213
Phone (505) 338-3320
Other names 1
- Mr. Bobby Elliott Lewis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0138 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Growth Counseling, LLC | Mental Health | Current | Accepting new patients |
Locations
5801 Osuna Rd NE
Ste 102
Albuquerque, NM 87109
Phone (505) 639-4769
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Albuquerque, NM
- NPI 1821634171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447372800000",
"number": "1417104183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2551 COORS BLVD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871201213",
"telephone_number": "505-338-3320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 MORRIS RD SE",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870315242",
"telephone_number": "505-866-2318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ROBERT",
"middle_name": "ELLIOTT",
"name_prefix": "Mr.",
"credential": "THERAPIST II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-25",
"last_updated": "2015-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0138",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NM",
"license": "0138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BOBBY",
"last_name": "LEWIS",
"middle_name": "ELLIOTT",
"prefix": "MR.",
"credential": "LMFT",
"code": "5",
"type": "Other Name"
}
]
}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 Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.