Active NPI
Felicia Chavez
- Case Manager/Care Coordinator
- Albuquerque, NM
National Provider Identifier
1609309186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1706 El Centro Familiar Blvd SW
Albuquerque, NM 87105 - Phone
- (505) 877-0371
- NPI assigned
- Apr 11, 2017
- 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 | T-CTL0197701 | NM | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1706 El Centro Familiar Blvd SW
Albuquerque, NM 87105
Mailing address
1710 El Centro Familiar Blvd SW
Albuquerque, NM 87105-4502
Phone (505) 212-7405
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-CTL0197701 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1609309186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 EL CENTRO FAMILIAR BLVD SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871054502",
"telephone_number": "505-212-7405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 EL CENTRO FAMILIAR BLVD SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87105",
"telephone_number": "505-877-0371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "FELICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-11",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "T-CTL0197701",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"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 Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.