Individual provider Active NPI

Sarah Michelle Wynne, MA, LPCC, RPT, NCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1427393842
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0216131 Issued in NM
Practice address
3321 Candelaria Rd NE Ste 113
Albuquerque, NM 87107-1969
Phone
(505) 980-5932
NPI assigned
Dec 11, 2012
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X
Counselor 101Y00000X NM
Professional Counselor 101YP2500X CCMH0216131 NM Primary
Day Training/Habilitation Specialist 373H00000X

Addresses

Primary practice location

3321 Candelaria Rd NE Ste 113
Albuquerque, NM 87107-1969

Mailing address

501 49TH St NW
Albuquerque, NM 87105-1621

Other identifiers 1

IdentifierTypeStateIssuer
57287244MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 16, 2024 through Apr 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Wynne Counseling, LLC Mental Health CurrentSince Jun 1, 2020 Accepting new patients

Locations

3321 Candelaria Rd NE
Ste 113
Albuquerque, NM 87107
Phone (505) 980-0171

4004 Carlisle Blvd NE
Ste R
Albuquerque, NM 87107
Phone (505) 226-5522

5800 McLeod Rd NE
Ste F
Albuquerque, NM 87109
Phone (505) 363-0250

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": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1427393842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 49TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871051621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 CANDELARIA RD NE STE 113",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071969",
            "telephone_number": "505-980-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNNE",
        "first_name": "SARAH",
        "middle_name": "MICHELLE",
        "credential": "MA, LPCC, RPT, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0216131",
            "primary": true
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57287244",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.