Intentional Path Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INTENTIONAL PATH COUNSELING LLC

Practice address

306 Washington St SE
Albuquerque, NM 87108-2735

Phone

(505) 980-0954

NPI assigned

Mar 11, 2017

Last updated

Jul 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vanya Garabedian, LCSWNPI 1669756185

Title

Owner

Phone

(505) 980-0954

Specialties & licenses 2

Addresses

Locations

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.

• Vanya Garabedian, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1669756185
  NPD Authorized official

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

{
    "created_epoch": "1489190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1427599356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4642",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871964642",
            "telephone_number": "505-980-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WASHINGTON ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082735",
            "telephone_number": "505-980-0954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4116 LOMAS BLVD NE",
            "address_purpose": "LOCATION",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107747",
            "country_code": "US",
            "telephone_number": "505-980-0954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTENTIONAL PATH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-11",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "GARABEDIAN",
        "authorized_official_first_name": "VANYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-980-0954",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09065",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.