Active NPI
Rebecca Elisabeth Colla
- Mental Health Counselor
- Albuquerque, NM
National Provider Identifier
1538493101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0158831
- Practice address
- 1031 Lamberton PL NE
Albuquerque, NM 87107-1641 - Phone
- (505) 272-2190
- NPI assigned
- Sep 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C5364 | OR | |
| Mental Health Counselor | 101YM0800X | 0158831 | NM | Primary |
| Mental Health Counselor | 101YM0800X | 7401 | CA |
Addresses
Primary practice location
1031 Lamberton PL NE
Albuquerque, NM 87107-1641
Mailing address
1031 Lamberton PL NE
Albuquerque, NM 87107-1641
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | UNMH@direct.health.unm.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0158831 | NM | MD | Mental Health Counselor |
| C5364 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unm Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Air Ambulance
- Albuquerque, NM
- NPI 1558054684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1538493101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 LAMBERTON PL NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871071641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 LAMBERTON PL NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871071641",
"telephone_number": "505-272-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLA",
"first_name": "REBECCA",
"middle_name": "ELISABETH",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-29",
"last_updated": "2023-06-08",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C5364",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0158831",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "7401",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "UNMH@direct.health.unm.edu",
"affiliation": "N",
"address_1": "2211 Lomas Blvd NE",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871062719",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Albuquerque, NM
- Rosalinda Coleman
- Stephen Charles Coleman, MD
- Coles Helping Hands
- Colibri House Calls LLC
- Colin Forde DDS PC (Family & Cosmetic Dental Design)
- Collaborative Counseling 505, LLC (Collaborative Counseling 505)
- Nicole Collantes Silva, M.D
- Colleen Turner Therapy Services, Inc.
- Colleen Williams DDS PC
- Kathleen Colleran, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.