Individual provider Active NPI

Alexandrea Nicole Gottlieb

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1467850339
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CTB-2026-0137 Issued in NM
Practice address
1645 University Blvd NE
Albuquerque, NM 87102-1710
Phone
(505) 842-9911
NPI assigned
Dec 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CTB-2026-0137 NM Primary

Addresses

Primary practice location

1645 University Blvd NE
Albuquerque, NM 87102-1710

Mailing address

201 Princeton Dr SE Apt B
Albuquerque, NM 87106-2974
Phone (505) 365-3764

Other practice location 1

625 Silver Ave SW Ste 345
Albuquerque, NM 87102-3111
Phone (505) 842-8435

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1645 University Blvd NE
Albuquerque, NM 87102-1710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CTB-2025-0567NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Families of Albuquerque LLC CurrentSince Jul 1, 2026 Accepting new patients
Rise Integrated Health LLC PastSince Jul 1, 2026 Accepting new patients

Locations

1645 University Blvd NE
Albuquerque, NM 87102
Phone (505) 542-1383

Organizations & group practices 2

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": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1467850339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PRINCETON DR SE APT B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062974",
            "telephone_number": "505-365-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 UNIVERSITY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021710",
            "telephone_number": "505-842-9911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Silver Ave SW Ste 345",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871023111",
            "country_code": "US",
            "telephone_number": "505-842-8435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "ALEXANDREA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2026-0137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.