Individual provider Active NPI

Nicholas Zamora, M.S.

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1467825984
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0177401 Issued in NM
Practice address
5203 Juan Tabo Blvd NE
Suite 2a
Albuquerque, NM 87111-2683
Phone
(505) 266-6121
NPI assigned
Nov 5, 2015
Last updated
Nov 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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 0177401 NM Primary

Addresses

Primary practice location

5203 Juan Tabo Blvd NE
Suite 2a
Albuquerque, NM 87111-2683

Mailing address

5203 Juan Tabo Blvd NE
Suite 2a
Albuquerque, NM 87111-2683
Phone (505) 266-6121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0177401NMMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1467825984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 JUAN TABO BLVD NE",
            "address_2": "SUITE 2A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112683",
            "telephone_number": "505-266-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203 JUAN TABO BLVD NE",
            "address_2": "SUITE 2A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112683",
            "telephone_number": "505-266-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "NICHOLAS",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0177401",
            "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 Nov 5, 2015; 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.