Organization Active NPI

Rhizome Therapeutics LLC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1528757424
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RHIZOME THERAPEUTICS LLC
Practice address
300 Menaul Blvd NW Ste a-216
Albuquerque, NM 87107-1322
Phone
(505) 633-7170
NPI assigned
May 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Jessica Lane, LPCCNPI 1366895914
Title
Owner
Phone
(505) 633-7170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

300 Menaul Blvd NW Ste a-216
Albuquerque, NM 87107-1322

Mailing address

300 Menaul Blvd NW Ste a-216
Albuquerque, NM 87107-1322
Phone (505) 633-7170

National Provider Directory

National Provider Directory

Locations

300 Menaul Blvd NW
Ste A216
Albuquerque, NM 87107
Phone (505) 633-7170

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1528757424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MENAUL BLVD NW STE A-216",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071322",
            "telephone_number": "505-633-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MENAUL BLVD NW STE A-216",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071322",
            "telephone_number": "505-633-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHIZOME THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-633-7170",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.