Active NPI
Len Follick, LPCC
- Professional Counselor
- Albuquerque, NM
National Provider Identifier
1548374002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3100
- Practice address
- 3420 Constitution Ave NE
Suite B
Albuquerque, NM 87106-1238 - Phone
- (505) 450-5227
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3100 | NM | Primary |
Addresses
Primary practice location
3420 Constitution Ave NE
Suite B
Albuquerque, NM 87106-1238
Mailing address
520 14TH St NW
Albuquerque, NM 87104-1322
Phone (505) 450-5227
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36080721 | Medicaid | NM | |
| NM101901 | Other | NM | VALUE OPTIONS NEW MEXICO |
| 08156034 | Medicaid | NM |
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 |
|---|---|---|---|
| 3100 | NM | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1548374002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 14TH ST NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871041322",
"telephone_number": "505-450-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3420 CONSTITUTION AVE NE",
"address_2": "SUITE B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871061238",
"telephone_number": "505-450-5227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLLICK",
"first_name": "LEN",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "3100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36080721",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS NEW MEXICO",
"identifier": "NM101901",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08156034",
"state": "NM"
}
],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.