Individual provider Active NPI

Elizabeth Allen, LMHC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1619470671
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0180611 Issued in NM
Practice address
10555 Montgomery Blvd NE BLDG 2
Albuquerque, NM 87111-3857
Phone
(505) 503-7946
Fax
(505) 503-7947
NPI assigned
Mar 15, 2018
Last updated
Mar 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0180611 NM Primary

Addresses

Primary practice location

10555 Montgomery Blvd NE BLDG 2
Albuquerque, NM 87111-3857

Mailing address

10555 Montgomery Blvd NE BLDG 2
Albuquerque, NM 87111-3857
Phone (505) 503-7946

Other names 1

  • Elizabeth Trawick Former name

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
I20240122004552 NM Practitioner - Mental Health Counselor 3072965300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Neuropsychology and Behavioral Health, LLCGroup PAC ID 9638353170, 12 clinicians

Practice addresses (Care Compare)

5951 Jefferson St NE
Suite C
Albuquerque, NM 87109-3450
Phone (505) 247-4900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0180611NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Neuropsychology and Behavioral Health, LLC CurrentSince Jan 9, 2024 Accepting new patients
House Calls of New Mexico LLC CurrentSince Jan 9, 2024 Accepting new patients

Locations

5951 Jefferson St NE
Ste C
Albuquerque, NM 87109
Phone (505) 247-4900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1619470671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10555 MONTGOMERY BLVD NE BLDG 2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113857",
            "telephone_number": "505-503-7946",
            "fax_number": "505-503-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 MONTGOMERY BLVD NE BLDG 2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113857",
            "telephone_number": "505-503-7946",
            "fax_number": "505-503-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ELIZABETH",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0180611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "TRAWICK",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.