Agape Counseling Services of Albuquerque Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

I-3639 Issued in NM

Legal business name

AGAPE COUNSELING SERVICES OF ALBUQUERQUE INC.

Practice address

5415 Fortuna Rd NW
Albuquerque, NM 87105-1371

Phone

(505) 249-0021

NPI assigned

May 12, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Annette Florinda Elwell, LMSW

Title

Director

Phone

(505) 249-0021

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1447427182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8004 PONY HILLS PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146083",
            "telephone_number": "505-249-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 FORTUNA RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871051371",
            "telephone_number": "505-249-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE COUNSELING SERVICES OF ALBUQUERQUE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "ELWELL",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "FLORINDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-249-0021",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "M-06402",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "I-3639",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0095611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.