Active NPI
Jenna Brimmer, LMSW
- Social Worker
- Albuquerque, NM
National Provider Identifier
1477098838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M-11051
- Practice address
- 2612 Texas St NE
Albuquerque, NM 87110-4684 - Phone
- (505) 830-1871
- NPI assigned
- Dec 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | M-11051 | NM | |
| Social Worker | 104100000X | M-11051 | NM | Primary |
Addresses
Primary practice location
2612 Texas St NE
Albuquerque, NM 87110-4684
Mailing address
2221 Rio Grande Blvd NW
Albuquerque, NM 87104-2529
Phone (505) 830-1871
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
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2200 Grande Blvd SE
Suite B
Rio Rancho, NM 87124-1695
Phone (505) 218-6383
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-11051 | NM | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Families of Albuquerque LLC | Current | Accepting new patients | |
| GD Psych Services, LLC | Counselor | Current | Accepting new patients |
| Peanut Butter and Jelly Family Services | Past | Accepting new patients |
Locations
1803 Carlisle Blvd NE
Albuquerque, NM 87110
Phone (505) 842-9911
2200 Grande Blvd SE
Ste B
Rio Rancho, NM 87124
Phone (505) 218-6383
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1568790582
-
- Early Intervention Provider Agency
- Albuquerque, NM
- NPI 1215374855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576713600000",
"number": "1477098838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 RIO GRANDE BLVD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871042529",
"telephone_number": "505-830-1871",
"fax_number": "505-830-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2612 TEXAS ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871104684",
"telephone_number": "505-830-1871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIMMER",
"first_name": "JENNA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-21",
"last_updated": "2019-12-19",
"certification_date": "2019-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "M-11051",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-11051",
"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 Dec 19, 2019; 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.