Active NPI
Vanessa Braught, LPCC
- Professional Counselor
- Rio Rancho, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CCMH0211901
- Practice address
- 500 Unser Blvd SE Ste 103
Rio Rancho, NM 87124-4660 - Phone
- (505) 404-0554
- Fax
- (505) 393-4525
- NPI assigned
- Aug 31, 2017
- Last updated
- Dec 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | T-0191171 | NM | |
| Professional Counselor | 101YP2500X | CCMH0211901 | NM | Primary |
Addresses
Primary practice location
500 Unser Blvd SE Ste 103
Rio Rancho, NM 87124-4660
Mailing address
500 Unser Blvd SE Ste 103
Rio Rancho, NM 87124-4660
Phone (505) 404-0554
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| T-0191171 | NM | MD | Mental Health Counselor |
| CCMH0211901 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanessa Braught Counseling, LLC | Current | Accepting new patients | |
| The Enhancement Center, P.C. | Mental Health | Current | Accepting new patients |
| A Childs Voice | Current | Accepting new patients |
Locations
3901 Georgia St NE
Ste A4
Albuquerque, NM 87110
Phone (505) 710-5188
5201 Venice Ave NE
Ste A
Albuquerque, NM 87113
Phone (505) 796-6367
4111 Barbara Loop SE
Ste E1
Rio Rancho, NM 87124
Phone (505) 219-1973
500 Unser Blvd SE
Ste 103
Rio Rancho, NM 87124
Phone (505) 404-0554
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Albuquerque, NM
- NPI 1235237801
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rio Rancho, NM
- NPI 1114698420
-
dba A Child's Voice INC
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1720495682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1578081311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 UNSER BLVD SE STE 103",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871244660",
"telephone_number": "505-404-0554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UNSER BLVD SE STE 103",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871244660",
"telephone_number": "505-404-0554",
"fax_number": "505-393-4525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUGHT",
"first_name": "VANESSA",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-31",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "T-0191171",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "CCMH0211901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.