Individual provider Active NPI

Lisa R Van Meir, LPCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1588045249
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
5416 Blue Jay LN NW
Albuquerque, NM 87120-4915
Phone
(505) 681-2640
NPI assigned
Jun 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary
Mental Health Counselor 101YM0800X 0168061 NM

Addresses

Primary practice location

5416 Blue Jay LN NW
Albuquerque, NM 87120-4915

Mailing address

5416 Blue Jay LN NW
Albuquerque, NM 87120-4915

Other practice location 1

5310 Sequoia Rd NW
Albuquerque, NM 87120-1249
Phone (505) 352-3100

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
I20231120000837 NM Practitioner - Mental Health Counselor 9638507064 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0168061NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Mind Counseling CurrentSince Jan 1, 2024 Accepting new patients

Locations

8214 2nd St NW
Ste C
Albuquerque, NM 87114
Phone (505) 317-3792

2424 Juan Tabo Blvd NE
Albuquerque, NM 87112
Phone (505) 317-3792

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": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1588045249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5416 BLUE JAY LN NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5416 BLUE JAY LN NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204915",
            "telephone_number": "505-681-2640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5310 Sequoia Rd NW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871201249",
            "country_code": "US",
            "telephone_number": "505-352-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN MEIR",
        "first_name": "LISA",
        "middle_name": "R",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0168061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.