Individual provider Active NPI

Karen Wall, EDD, LMFT, RN-BC

  • Marriage & Family Therapist
  • Albuquerque, NM
National Provider Identifier
1558890822
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
CTB-2022-0016 Issued in NM
Practice address
9500 Osuna Rd NE Apt 1018
Albuquerque, NM 87111-2291
Phone
(909) 583-1545
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 97283 CA
Marriage & Family Therapist 106H00000X CTB-2022-0016 NM Primary

Addresses

Primary practice location

9500 Osuna Rd NE Apt 1018
Albuquerque, NM 87111-2291

Mailing address

9500 Osuna Rd NE Apt 1018
Albuquerque, NM 87111-2291
Phone (909) 583-1545

Other identifiers 1

IdentifierTypeStateIssuer
1558890822OtherCACAQH

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
I20240725002808 NM Practitioner - Marriage and Family Therapist 0648716688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Enhancement Center, P.C.Group PAC ID 0648297499, 19 clinicians

Practice addresses (Care Compare)

3901 Georgia St NE
Suite A4
Albuquerque, NM 87110-1391
Phone (505) 891-1583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
97283CAMDMarriage & Family Therapist
CTB-2022-0016NMMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Enhancement Center, P.C. Marriage & Family Therapist CurrentSince Jun 1, 2024 Accepting new patients

Locations

3901 Georgia St NE
Ste A4
Albuquerque, NM 87110
Phone (505) 710-5188

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1558890822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 OSUNA RD NE APT 1018",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112291",
            "telephone_number": "909-583-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 OSUNA RD NE APT 1018",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112291",
            "telephone_number": "909-583-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "EDD, LMFT, RN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "97283",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CTB-2022-0016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "1558890822",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.