Individual provider Active NPI

Vanessa Braught, LPCC

  • Professional Counselor
  • Rio Rancho, NM
National Provider Identifier
1578081311
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0211901 Issued in NM
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240725002172 NM Practitioner - Mental Health Counselor 7719423730 Reassigns benefits to 2 organizations

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
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
T-0191171NMMDMental Health Counselor
CCMH0211901NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vanessa Braught Counseling, LLC CurrentSince Jan 12, 2026 Accepting new patients
The Enhancement Center, P.C. Mental Health CurrentSince Jun 1, 2024 Accepting new patients
A Childs Voice CurrentSince Jun 12, 2018 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.

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

Verify at the official NPI Registry.