Individual provider Active NPI

Marlene Rocio Espinoza Barboza

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1629600366
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CCMH0203861 Issued in NM
Practice address
306 San Pablo St SE
Albuquerque, NM 87108-3167
Phone
(505) 710-8728
Fax
(505) 272-1538
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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 CCMH0203861 NM Primary

Addresses

Primary practice location

306 San Pablo St SE
Albuquerque, NM 87108-3167

Mailing address

306 San Pablo St SE
Albuquerque, NM 87108-3167
Phone (505) 710-8728

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

LicenseStateTypeSpecialty
CCMH0203861NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cottonwood Counseling, LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1629600366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 SAN PABLO ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871083167",
            "telephone_number": "505-710-8728",
            "fax_number": "505-272-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 SAN PABLO ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871083167",
            "telephone_number": "505-710-8728",
            "fax_number": "505-272-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOZA BARBOZA",
        "first_name": "MARLENE",
        "middle_name": "ROCIO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH0203861",
            "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 Feb 11, 2020; 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.