NPIMap

Organization Active NPI

Life Stage Therapy

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1649578980
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0248 Issued in NM
Legal business name
LIFE STAGE THERAPY
Practice address
3301 Coors Blvd NW Ste R
Suite 148
Albuquerque, NM 87120-1268
Phone
(505) 710-4259
NPI assigned
Mar 10, 2011
Last updated
Mar 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Mr. Michael P Morse, LMFTNPI 1659679975
Title
Owner
Phone
(505) 710-4259

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0248 NM Primary

Addresses

Primary practice location

3301 Coors Blvd NW Ste R
Suite 148
Albuquerque, NM 87120-1268

Mailing address

3301 Coors Blvd NW Ste R
Suite 148
Albuquerque, NM 87120-1268
Phone (505) 710-4259

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1649578980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 COORS BLVD NW STE R",
            "address_2": "SUITE 148",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201268",
            "telephone_number": "505-710-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 COORS BLVD NW STE R",
            "address_2": "SUITE 148",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201268",
            "telephone_number": "505-710-4259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE STAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-710-4259",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0248",
            "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 Mar 10, 2011; 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.