Individual provider Active NPI

Ah Lin Wong, LPCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1487670295
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CTB-2023-0155 Issued in NM
Practice address
10735 Del Sol Park Dr NW
Albuquerque, NM 87114-5166
Phone
(505) 314-4052
NPI assigned
Jul 14, 2006
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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-2023-0155 NM Primary

Addresses

Primary practice location

10735 Del Sol Park Dr NW
Albuquerque, NM 87114-5166

Mailing address

10735 Del Sol Park Dr NW
Albuquerque, NM 87114-5166
Phone (505) 314-4052

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260116000683 NM Practitioner - Mental Health Counselor 9638529316 Practice locations: Albuquerque, NM

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10735 Del Sol Park Dr NW
Albuquerque, NM 87114-5166

1209 Mountain Rd PL NE
Albuquerque, NM 87110-7845
Phone (505) 314-4052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CTB-2023-0155NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cottonwood Counseling, LLC Professional Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1487670295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10735 DEL SOL PARK DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145166",
            "telephone_number": "505-314-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10735 DEL SOL PARK DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145166",
            "telephone_number": "505-314-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "AH",
        "middle_name": "LIN",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2023-0155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.