Active NPI
Estrada Brothers Counseling Services LLC
- Social Worker
- Albuquerque, NM
National Provider Identifier
1629800529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- ESTRADA BROTHERS COUNSELING SERVICES LLC
- Practice address
- 8211 Wolverine Dr NW
Albuquerque, NM 87120-5269 - Phone
- (505) 306-9031
- NPI assigned
- Aug 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Estrada, LCSW
- Title
- Owner
- Phone
- (505) 306-9031
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
8211 Wolverine Dr NW
Albuquerque, NM 87120-5269
Mailing address
8211 Wolverine Dr NW
Albuquerque, NM 87120-5269
Phone (505) 306-9031
Other names 1
- Brothers Counseling LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Albuquerque, NM
- NPI 1205240504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724112000000",
"number": "1629800529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8211 WOLVERINE DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871205269",
"telephone_number": "505-306-9031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8211 WOLVERINE DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871205269",
"telephone_number": "505-306-9031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESTRADA BROTHERS COUNSELING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-19",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A",
"authorized_official_last_name": "ESTRADA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-306-9031",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brothers Counseling LLC",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Brothers Counseling LLC",
"code": "5",
"type": "Other Name"
}
]
}
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 Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.