Innerwork Psychotherapy and Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INNERWORK PSYCHOTHERAPY AND COUNSELING

Practice address

2403 San Mateo Blvd NE Ste W10
Albuquerque, NM 87110-4070

Phone

(505) 883-3076

Fax

(505) 883-3076

NPI assigned

Feb 6, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Ashcraft

Title

Office Manager

Phone

(505) 883-3076

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1598943151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 SAN MATEO BLVD NE STE W10",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104070",
            "telephone_number": "505-883-3076",
            "fax_number": "505-883-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 SAN MATEO BLVD NE STE W10",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104070",
            "telephone_number": "505-883-3076",
            "fax_number": "505-883-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERWORK PSYCHOTHERAPY AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "ASHCRAFT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-883-3076",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE HEALTHPLAN",
            "identifier": "10007079",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.