Madison Claire Christensen

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

CTB-2023-0579 Issued in NM

Practice address

218 Broadway Blvd SE
Albuquerque, NM 87102-3425

Phone

(505) 242-6988

Fax

(505) 242-6972

NPI assigned

Jun 3, 2020

Last updated

Jul 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Evolution Group Inc.

  • Multi-Specialty Clinic/Center
  • Albuquerque, NM
  • NPI 1285801191
  NPD (past)

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1629692892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 BROADWAY BLVD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023425",
            "telephone_number": "505-242-6988",
            "fax_number": "505-242-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 BROADWAY BLVD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023425",
            "telephone_number": "505-242-6988",
            "fax_number": "505-242-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "MADISON",
        "middle_name": "CLAIRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CTB-2023-0579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L Chrisman, OT
• Carol Christensen, SLP
• Dianne Dorthy Christensen, MS
• Heather Christensen
• Laurel Christensen
• Preston Christensen, PTA
• Sharon Christensen, CCC-SLP
• Shianne Christensen
• Tamerra L'Rae Christensen
• Tyler Dan Christensen

• Marriage & Family Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Marriage & Family Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.