William K Blythe, LPCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CTB-2023-0586 Issued in NM

Practice address

4011 Barbara Loop SE
Rio Rancho, NM 87124-1039

Phone

(505) 842-9911

NPI assigned

Dec 21, 2018

Last updated

Dec 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthy Families of Albuquerque LLCGroup PAC ID 0840474391, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healthy Families of Albuquerque LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1568790582
  Medicare reassignment Care Compare group NPD
• Rise Integrated Health LLC

  • Nurse Practitioner
  • Albuquerque, NM
  • NPI 1043161474
  NPD (past)
• The Evolution Group Inc.

  • Multi-Specialty Clinic/Center
  • Albuquerque, NM
  • NPI 1285801191
  NPD (past)

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1447722988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 UNIVERSITY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021710",
            "telephone_number": "505-842-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 BARBARA LOOP SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241039",
            "telephone_number": "505-842-9911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1645 University Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871021710",
            "country_code": "US",
            "telephone_number": "505-842-9911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLYTHE",
        "first_name": "WILLIAM",
        "middle_name": "K",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-21",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "CTB-2023-0586",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2023-0586",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Duane Blocker, LPCC
• Bloom Haven Behavioral Health LLC
• Carrie Joanne Bloomer, RN
• Blue Phoenix Therapy LLC
• Blueeyes Speech and Language Services (Connect With Autism)
• Victoria L Bobchak
• Steven N Bock, MD
• Rhonda Bodewaldt
• Cheyenne Boe
• Skyler Boeding

• Counselor in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.