Individual provider Active NPI

Angela A Godinez, M.A.

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1568773265
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
6121 Indian School Rd NE Ste 234
Albuquerque, NM 87110-3180
Phone
(505) 342-5471
NPI assigned
Jun 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

6121 Indian School Rd NE Ste 234
Albuquerque, NM 87110-3180

Mailing address

6121 Indian School Rd NE Ste 234
Albuquerque, NM 87110-3180

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
I20240815001882 NM Practitioner - Mental Health Counselor 7719425222 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)

2601 Wyoming Blvd NE
Albuquerque, NM 87112-1035
Phone (505) 750-1561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Mindset Mental Health CurrentSince Jun 17, 2024 Accepting new patients

Locations

2601 Wyoming Blvd NE
Albuquerque, NM 87112
Phone (505) 750-1561

2601 Wyoming Blvd NE
Ste 218
Albuquerque, NM 87112
Phone (505) 504-6697

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": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381708800000",
    "number": "1568773265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 INDIAN SCHOOL RD NE STE 234",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 INDIAN SCHOOL RD NE STE 234",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103180",
            "telephone_number": "505-342-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODINEZ",
        "first_name": "ANGELA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2013-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.