Active NPI
Aubrey Kopczynski, LMHC
- Mental Health Counselor
- Albuquerque, NM
National Provider Identifier
1477919967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- T-0177841
- Practice address
- 912 1St St NW
Albuquerque, NM 87102-2355 - Phone
- (505) 224-9777
- NPI assigned
- Jan 13, 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 | T-0177841 | NM | Primary |
Addresses
Primary practice location
912 1St St NW
Albuquerque, NM 87102-2355
Mailing address
501 Carlisle Blvd SE
Albuquerque, NM 87106-1507
Phone (505) 228-2846
Other names 1
- Aubrey Malouf
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-0177841 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Albuquerque | Mental Health | Current | Accepting new patients |
Locations
7601 Jefferson St NE
Ste 360
Albuquerque, NM 87109
Phone (575) 769-2345
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.
-
- Adult Mental Health Clinic/Center
- Albuquerque, NM
- NPI 1386279297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1477919967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 CARLISLE BLVD SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871061507",
"telephone_number": "505-228-2846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 1ST ST NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022355",
"telephone_number": "505-224-9777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPCZYNSKI",
"first_name": "AUBREY",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-13",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "T-0177841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AUBREY",
"last_name": "MALOUF",
"credential": "LMHC",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.