Active NPI
Marinell Locson, LMHC
- Mental Health Counselor
- Albuquerque, NM
National Provider Identifier
1457710352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- T0178921
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241217001474 | NM | Practitioner - Mental Health Counselor | 1557898483 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0178921 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renewnm Therapy, Inc. | Mental Health | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.