Individual provider Active NPI

Theresa Ann Day, LPCC, NCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1427559772
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0217621 Issued in NM
Practice address
5916 Anaheim Ave NE Ste a
Albuquerque, NM 87113-1894
Phone
(505) 291-6314
Fax
(505) 275-0296
NPI assigned
Feb 22, 2018
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X T-0193191 NM
Professional Counselor 101YP2500X CCMH0217621 NM Primary

Addresses

Primary practice location

5916 Anaheim Ave NE Ste a
Albuquerque, NM 87113-1894

Mailing address

3308 Montclaire Dr NE
Albuquerque, NM 87110-1702
Phone (505) 291-6314

Other identifiers 1

IdentifierTypeStateIssuer
03759253MedicaidNM

Other names 1

  • Theresa Ann Gray Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241206002021 NM Practitioner - Mental Health Counselor 6901332485 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GD Psych Services, LLCGroup PAC ID 6204260474, 18 clinicians
Age to Age Counseling, PCGroup PAC ID 6305933151, 7 clinicians

Practice addresses (Care Compare)

2200 Grande Blvd SE
Suite B
Rio Rancho, NM 87124-1695
Phone (505) 218-6383

2200 Grande Blvd SE B
Rio Rancho, NM 87124-1695

5916 Anaheim Ave NE
Suite a
Albuquerque, NM 87113-1894
Phone (505) 291-6314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-0193191NMMDMental Health Counselor
CCMH0217621NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Age to Age Counseling PC Mental Health CurrentSince Nov 3, 2025 Accepting new patients
GD Psych Services, LLC Mental Health CurrentSince Oct 29, 2024 Accepting new patients

Locations

5916 Anaheim Ave NE
Ste A
Albuquerque, NM 87113
Phone (505) 291-6314

2200 Grande Blvd SE
Ste B
Rio Rancho, NM 87124
Phone (505) 218-6383

Organizations & group practices 2

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": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1427559772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 MONTCLAIRE DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101702",
            "telephone_number": "505-291-6314",
            "fax_number": "505-275-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5916 ANAHEIM AVE NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131894",
            "telephone_number": "505-291-6314",
            "fax_number": "505-275-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "credential": "LPCC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-0193191",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0217621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03759253",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "GRAY",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.