NM Family Education Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NM FAMILY EDUCATION CENTER

Practice address

1923 Alvarado Dr NE
Suite 7
Albuquerque, NM 87110-5161

Phone

(505) 717-7845

Fax

(866) 611-4627

NPI assigned

May 19, 2008

Last updated

Jul 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

J Maxwell Jacques

Title

Executive Director

Phone

(505) 717-7845

Specialties & licenses 6

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1629235593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 ALVARADO DR NE",
            "address_2": "SUITE 7",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105161",
            "telephone_number": "505-717-7845",
            "fax_number": "866-611-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 ALVARADO DR NE",
            "address_2": "SUITE 7",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105161",
            "telephone_number": "505-717-7845",
            "fax_number": "866-611-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NM FAMILY EDUCATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "JACQUES",
        "authorized_official_first_name": "J MAXWELL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-717-7845"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "334856544",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.