Active NPI
Eric Castonguay, LCMHC, LPCC, MHC
- Mental Health Counselor
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 068-0131630
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 068-0131630 | VT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nomadic Psychotherapy & Wellness Coaching, PLC. | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albuquerque, NM
- NPI 1871256933
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
- Yvonne M Castillo, CNM
- Castleberry & Associates Counseling and Testing Services, LLC
- Erica Lane Castleberry, PH.D.
- Brian D Castlemain, M.D.
- Theresa Marie Castlemain, RN, MSN, CNP
- Chelsea Rae Castor, PHARMD
- Selene Idaly Castro Deleon, RN
- Anastasia Castro, LMT
- Angelica Marie Castro, SLP
- Catalina Castro
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.