Individual provider Active NPI

Nicole M. Hartson, LPCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1548408545
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0143191 Issued in NM
Practice address
2900 Louisiana Blvd NE Ste 200D
Albuquerque, NM 87110-3589
Phone
(505) 397-4189
Fax
(505) 397-4189
NPI assigned
Jan 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0143191 NM Primary

Addresses

Primary practice location

2900 Louisiana Blvd NE Ste 200D
Albuquerque, NM 87110-3589

Mailing address

2900 Louisiana Blvd NE Ste 200D
Albuquerque, NM 87110-3589
Phone (505) 397-4189

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240307003643 NM Practitioner - Mental Health Counselor 8123464542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2900 Louisiana Blvd NE
Suite 200D
Albuquerque, NM 87110-3589
Phone (505) 397-4189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0143191NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Vibrant Mind Counseling, LLC CurrentSince Jan 1, 2024 Accepting new patients
La Ventana Psychology CurrentSince Jun 21, 2022 Accepting new patients

Locations

2900 Louisiana Blvd NE
Ste 200D
Albuquerque, NM 87110
Phone (505) 225-8867

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1548408545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LOUISIANA BLVD NE STE 200D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103589",
            "telephone_number": "505-397-4189",
            "fax_number": "505-397-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LOUISIANA BLVD NE STE 200D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103589",
            "telephone_number": "505-397-4189",
            "fax_number": "505-397-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTSON",
        "first_name": "NICOLE",
        "middle_name": "M.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0143191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.