Individual provider Active NPI

Eric Castonguay, LCMHC, LPCC, MHC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1649691452
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
068-0131630 Issued in VT
Practice address
2901 Juan Tabo Blvd NE # 101C
Albuquerque, NM 87112-1886
Phone
(802) 760-8214
Fax
(802) 488-6919
NPI assigned
Dec 20, 2013
Last updated
Sep 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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 068-0131630 VT Primary

Addresses

Primary practice location

2901 Juan Tabo Blvd NE # 101C
Albuquerque, NM 87112-1886

Mailing address

500 4TH St NW Ste 102
Albuquerque, NM 87102-2104
Phone (802) 760-8214

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
068-0131630VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nomadic Psychotherapy & Wellness Coaching, PLC. CurrentSince Oct 1, 2021 Accepting new patients

Locations

2901 Juan Tabo Blvd NE
#101C
Albuquerque, NM 87112
Phone (802) 760-8214

500 4th St NW
Ste 102
Albuquerque, NM 87102
Phone (505) 356-7650

170 Middle Rd N
Unit 1
Middlebury, VT 05753

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1649691452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 4TH ST NW STE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022104",
            "telephone_number": "802-760-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 JUAN TABO BLVD NE # 101C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121886",
            "telephone_number": "802-760-8214",
            "fax_number": "802-488-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTONGUAY",
        "first_name": "ERIC",
        "credential": "LCMHC, LPCC, MHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-20",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068-0131630",
            "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 13, 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.