Jennifer Hope Failla, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0073611 Issued in NM

Practice address

4477 Irving Blvd NW Ste B
Albuquerque, NM 87114-5529

Phone

(575) 933-1978

Fax

(575) 339-2780

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renewnm Therapy, IncGroup PAC ID 6901243088, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Waves Behavioral Health

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1710645494
  Medicare reassignment NPD
• Renewnm Therapy, Inc.

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1902585169
  Care Compare group
• Trauma Treatment Center LLC

  • Community/Behavioral Health Agency
  • Rio Rancho, NM
  • NPI 1427567486

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1487721130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 PONDEROSA DR",
            "city": "JEMEZ SPRINGS",
            "state": "NM",
            "postal_code": "870258116",
            "telephone_number": "505-829-4512",
            "fax_number": "505-829-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4477 IRVING BLVD NW STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145529",
            "telephone_number": "575-933-1978",
            "fax_number": "575-339-2780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 NM Highway 528 NE",
            "address_2": "Ste 102",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "87124",
            "country_code": "US",
            "telephone_number": "505-933-1978",
            "fax_number": "575-339-2780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9400 Holly Ave NE Bldg 4",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871222969",
            "country_code": "US",
            "telephone_number": "505-933-1978",
            "fax_number": "575-339-2780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAILLA",
        "first_name": "JENNIFER",
        "middle_name": "HOPE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0073611",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0073611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23805234",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Fadraga
• Jodi Fagan, LCSW
• Melissa L Fagan, LMHC
• Brian W Fahey, PH.D.
• Dena Fahlquist, AUD
• Eva Dennie Fain, RN CDE
• Vivian Lashawn Fain, LPCC
• Joanna Fair, M.D., PH. D.
• Isabel Faircloth, CRNA
• Kristin J Fairey, MA LPCC

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.

Verify at the official NPI Registry.