Organization Active NPI

Alegre Psychotherapy and Counseling, LLC

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1417328303
Registry record updated Oct 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-08219 Issued in NM
Legal business name
ALEGRE PSYCHOTHERAPY AND COUNSELING, LLC
Practice address
8 El Cerro TRL
Santa Fe, NM 87508-8090
Phone
(505) 699-7422
NPI assigned
Oct 17, 2015
Last updated
Oct 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2015

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

Authorized official

Name
Mr. Michael Allan Budnik, LISWNPI 1669712923
Title
Owner
Phone
(505) 699-7422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-08219 NM Primary

Addresses

Primary practice location

8 El Cerro TRL
Santa Fe, NM 87508-8090

Mailing address

8 El Cerro TRL
Santa Fe, NM 87508-8090
Phone (505) 699-7422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161206001850 NM Part B Supplier - Clinic/Group Practice 3971883026 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Fe, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1445040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445040000000",
    "number": "1417328303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 EL CERRO TRL",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875088090",
            "telephone_number": "505-699-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 EL CERRO TRL",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875088090",
            "telephone_number": "505-699-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEGRE PSYCHOTHERAPY AND COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-17",
        "last_updated": "2015-10-17",
        "status": "A",
        "authorized_official_last_name": "BUDNIK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-699-7422",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-08219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.