Active NPI
Lamarr D. Edgerson, LMFT
- Marriage & Family Therapist
- Albuquerque, NM
National Provider Identifier
1598889552
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective May 19, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0112671
- Practice address
- 7001 Prospect PL NE
Albuquerque, NM 87110-4311 - Phone
- (505) 629-1590
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0112671 | NM | Primary |
Addresses
Primary practice location
7001 Prospect PL NE
Albuquerque, NM 87110-4311
Mailing address
8044 Waterbury Ave NW
Albuquerque, NM 87120-5525
Phone (505) 629-1590
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0112671 | NM | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245369600000",
"number": "1598889552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8044 WATERBURY AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871205525",
"telephone_number": "505-629-1590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001 PROSPECT PL NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871104311",
"telephone_number": "505-629-1590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDGERSON",
"first_name": "LAMARR",
"middle_name": "D.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2009-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NM",
"license": "0112671",
"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 Jun 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.