Active NPI
Mindi Jo Sargent, M.S.
- Professional Counselor
- Albuquerque, NM
National Provider Identifier
1578768008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC001557
- Practice address
- 600 1St St NW
Albuquerque, NM 87102-2311 - Phone
- (505) 224-9124
- NPI assigned
- Jun 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 0106761 | NM | |
| Professional Counselor | 101YP2500X | APC001557 | GA | Primary |
Addresses
Primary practice location
600 1St St NW
Albuquerque, NM 87102-2311
Mailing address
6619 Northland Ave NE
Albuquerque, NM 87109
Phone (505) 506-9684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0106761 | NM | MD | Mental Health Counselor |
| APC001557 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256083200000",
"number": "1578768008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6619 NORTHLAND AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87109",
"telephone_number": "505-506-9684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 1ST ST NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022311",
"telephone_number": "505-224-9124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARGENT",
"first_name": "MINDI",
"middle_name": "JO",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-15",
"last_updated": "2009-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0106761",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC001557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.