Organization Active NPI

Albuquerque Emotional Wellness

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1629471271
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0163221 Issued in NM
Legal business name
ALBUQUERQUE EMOTIONAL WELLNESS
Practice address
4425 Juan Tabo Blvd NE Ste 135
Albuquerque, NM 87111-2681
Phone
(505) 234-4815
NPI assigned
Sep 26, 2014
Last updated
Sep 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Authorized official

Name
Marnie Holm Schroeder, LPCC
Title
Counselor
Phone
(505) 234-4815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0163221 NM Primary

Addresses

Primary practice location

4425 Juan Tabo Blvd NE Ste 135
Albuquerque, NM 87111-2681

Mailing address

4425 Juan Tabo Blvd NE Ste 135
Albuquerque, NM 87111-2681
Phone (505) 234-4815

National Provider Directory

National Provider Directory

Locations

4425 Juan Tabo Blvd NE
Ste 135
Albuquerque, NM 87111
Phone (505) 234-4815

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1629471271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 JUAN TABO BLVD NE STE 135",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112681",
            "telephone_number": "505-234-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 JUAN TABO BLVD NE STE 135",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112681",
            "telephone_number": "505-234-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBUQUERQUE EMOTIONAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_middle_name": "HOLM",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "505-234-4815",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0163221",
            "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 Sep 26, 2014; 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.