Individual provider Active NPI

Donald Wayne Hamilton, LMHC

  • Counselor
  • Albuquerque, NM
National Provider Identifier
1558638015
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0138681 Issued in NM
Practice address
1900 Moon St. NE
Albuquerque, NM 87112-2853
Phone
(505) 271-2490
Fax
(505) 271-2490
NPI assigned
Nov 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0138681 NM Primary
Professional Counselor 101YP2500X 0138681 NM

Addresses

Primary practice location

1900 Moon St. NE
Albuquerque, NM 87112-2853

Mailing address

1900 Moon St. NE
Albuquerque, NM 87112-2853
Phone (505) 271-2490

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
I20240305000673 NM Practitioner - Mental Health Counselor 4486099082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1900 Moon St NE
Albuquerque, NM 87112-2853

9301 Indian School Rd NE
Suite 103C
Albuquerque, NM 87112-2884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0138681NMMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Support Solutions Counselor CurrentSince Feb 1, 2024 Accepting new patients

Locations

9301 Indian School Rd NE
Ste 103C
Albuquerque, NM 87112
Phone (505) 573-2933

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1558638015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MOON ST. NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122853",
            "telephone_number": "505-271-2490",
            "fax_number": "505-271-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MOON ST. NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122853",
            "telephone_number": "505-271-2490",
            "fax_number": "505-271-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "DONALD",
        "middle_name": "WAYNE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "0138681",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0138681",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.