True Self LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I06618 Issued in NM

Legal business name

TRUE SELF LLC

Practice address

2900 Louisiana Blvd. NE
Suite J-1
Albuquerque, NM 87110-3532

Phone

(505) 639-5772

Fax

(505) 639-5780

NPI assigned

Mar 10, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Suzanne Russell Thornberry, LCSW

Title

Ceo / Owner / Clinician

Phone

(505) 379-3703

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• True Self Counseling Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzanne Jenkins Russell, LCSW CCM

  • Clinical Social Worker
  • Coeur D Alene, ID
  • NPI 1841309838
  NPD (past)

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1508007261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LOUISIANA BLVD. NE",
            "address_2": "SUITE J-1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103532",
            "telephone_number": "505-639-5772",
            "fax_number": "505-639-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LOUISIANA BLVD. NE",
            "address_2": "SUITE J-1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103532",
            "telephone_number": "505-639-5772",
            "fax_number": "505-639-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE SELF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "THORNBERRY",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "CEO / OWNER / CLINICIAN",
        "authorized_official_telephone_number": "505-379-3703",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I06618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45104336",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True Self Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Truckey, D.O.M, L.AC.
• True Color Counseling
• True Color Counseling, LLC
• True North Family Counseling
• True North Psychotherapy, Inc
• Angela True, LCSW
• Natalee Trueba, CCHW
• Truecare LLC
• Amber Iva Truehart, M.D.
• Tabitha Truesdale

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.