NPIMap

Organization Active NPI

Open Hearts, Open Minds Counseling Center, LLC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1598258576
Registry record updated Sep 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0144971 Issued in NM
Legal business name
OPEN HEARTS, OPEN MINDS COUNSELING CENTER, LLC
Practice address
1420 Carlisle Blvd NE
Albuquerque, NM 87110-5660
Phone
(505) 401-1802
NPI assigned
Jun 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2019

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

Authorized official

Name
Christina Forde, MA, LPCCNPI 1942334776
Title
Owner
Phone
(505) 401-1802

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 0144971 NM Primary

Addresses

Primary practice location

1420 Carlisle Blvd NE
Albuquerque, NM 87110-5660

Mailing address

PO Box 53002
Albuquerque, NM 87153-3002
Phone (505) 401-1802

Other practice location 1

1804 Lester Dr. NE
Albuquerque, NM 87112
Phone (505) 264-9293

Other identifiers 1

IdentifierTypeStateIssuer
58821350MedicaidNM

National Provider Directory

National Provider Directory

Locations

1420 Carlisle Blvd NE
Albuquerque, NM 87110
Phone (505) 226-2937

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569110400000",
    "number": "1598258576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53002",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871533002",
            "telephone_number": "505-401-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 CARLISLE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105660",
            "telephone_number": "505-401-1802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1804 Lester Dr. NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "87112",
            "country_code": "US",
            "telephone_number": "505-264-9293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPEN HEARTS, OPEN MINDS COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2019-09-22",
        "status": "A",
        "authorized_official_last_name": "FORDE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-401-1802",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0144971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58821350",
            "state": "NM"
        }
    ],
    "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 Sep 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.