Individual provider Active NPI

Aimee Brunell-Malik, LMHC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1427357193
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
T-0192391 Issued in NM
Practice address
2632 Pennsylvania St NE Ste E
Albuquerque, NM 87110-3650
Phone
(505) 242-4400
NPI assigned
Mar 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X T-0192391 NM Primary

Addresses

Primary practice location

2632 Pennsylvania St NE Ste E
Albuquerque, NM 87110-3650

Mailing address

522 Hermosa Dr NE Ste B
Albuquerque, NM 87108-1030

Other practice location 1

522 Hermosa Dr NE
Albuquerque, NM 87108-1030
Phone (505) 274-6636

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
T-0192391NMMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1427357193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 HERMOSA DR NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 PENNSYLVANIA ST NE STE E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103650",
            "telephone_number": "505-242-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "522 Hermosa Dr NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871081030",
            "country_code": "US",
            "telephone_number": "505-274-6636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNELL-MALIK",
        "first_name": "AIMEE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-0192391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 17, 2018; 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.