Jens Brakenhoff, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CTB-2024-0429 Issued in NM

Practice address

6100 Seagull St NE Ste B205
Albuquerque, NM 87109-2500

Phone

(505) 377-1705

NPI assigned

Feb 16, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

32 Degrees Genuine, LLCGroup PAC ID 4183060981, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• 32 Degrees Genuine, LLC

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1255896353
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1508511700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 SEAGULL ST NE STE B205",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 SEAGULL ST NE STE B205",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092500",
            "telephone_number": "505-377-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAKENHOFF",
        "first_name": "JENS",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-16",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2024-0429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brain & Body Rehabilitation Psychotherapy LLC
• Brain and Behavioral Associates, PC
• Brain Injury Association of New Mexico
• Marythelma Brainard, PH.D.
• Allen Wade Braithwaite, LMT
• Artemio D Brambila, PHD
• Emily Kate Brammer, BCBA
• Felicia Heather Branch, FNP-C
• Jennifer Branch
• Louann C Branch, PHARMD

• 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 Jun 27, 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.