Individual provider Active NPI

Marinell Locson, LMHC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1457710352
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
T0178921 Issued in NM
Practice address
2632 Pennsylvania St NE
Suite E
Albuquerque, NM 87110-3613
Phone
(505) 242-4400
NPI assigned
Feb 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X T0178921 NM Primary

Addresses

Primary practice location

2632 Pennsylvania St NE
Suite E
Albuquerque, NM 87110-3613

Mailing address

1704 Princeton Dr SE
Albuquerque, NM 87106-3114
Phone (505) 363-5636

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
I20241217001474 NM Practitioner - Mental Health Counselor 1557898483 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T0178921NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renewnm Therapy, Inc. Mental Health CurrentSince Sep 27, 2024 Accepting new patients

Locations

4801 Lang Ave NE
Ste 110
Albuquerque, NM 87109
Phone (505) 633-3183

6330 Riverside Plaza Ln NW
Ste 210
Albuquerque, NM 87120
Phone (505) 207-8580

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1457710352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 PRINCETON DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871063114",
            "telephone_number": "505-363-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 PENNSYLVANIA ST NE",
            "address_2": "SUITE E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103613",
            "telephone_number": "505-242-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCSON",
        "first_name": "MARINELL",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T0178921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.