Individual provider Active NPI

Amy L McGhee, LPCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1497009625
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0198751 Issued in NM
Practice address
6330 Riverside Plaza LN NW Ste 260
Albuquerque, NM 87120
Phone
(505) 226-2839
NPI assigned
Nov 9, 2012
Last updated
Feb 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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 CCMH0198751 NM Primary

Addresses

Primary practice location

6330 Riverside Plaza LN NW Ste 260
Albuquerque, NM 87120

Mailing address

12029 Gazelle PL NE
Albuquerque, NM 87111-7235
Phone (318) 294-1817

Other practice location 1

1513 Line Ave
Shreveport, LA 71101-4621
Phone (318) 865-7500 ext. 17

Other identifiers 1

IdentifierTypeStateIssuer
04327713MedicaidNM

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
I20250108003373 NM Practitioner - Mental Health Counselor 4587192273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Elevation Counseling LLCGroup PAC ID 6507209236, 19 clinicians

Practice addresses (Care Compare)

6612 Gulton CT NE
Suite a
Albuquerque, NM 87109-4407
Phone (505) 888-1686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elevation Counseling, LLC Professional CurrentSince Nov 22, 2024 Accepting new patients
Cottonwood Counseling, LLC Professional Past Accepting new patients

Locations

6612 Gulton Ct NE
Ste A
Albuquerque, NM 87109
Phone (505) 289-0797

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, 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": "1352419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1497009625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12029 GAZELLE PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117235",
            "telephone_number": "318-294-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 RIVERSIDE PLAZA LN NW STE 260",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87120",
            "telephone_number": "505-226-2839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1513 Line Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711014621",
            "country_code": "US",
            "telephone_number": "318-865-7500 x17",
            "fax_number": "318-868-2035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGHEE",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-09",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0198751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04327713",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.