Organization Active NPI

Lsalomone PHD LLC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1659689164
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0045 Issued in NM
Legal business name
LSALOMONE PHD LLC
Practice address
1639 Betts St NE
Albuquerque, NM 87112-4267
Phone
(505) 292-9071
Fax
(505) 275-7184
NPI assigned
Sep 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Authorized official

Name
Dr. Linda Salomone, PHDNPI 1346308285
Title
Counselor/Owner
Phone
(505) 292-9071

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 0045 NM Primary

Addresses

Primary practice location

1639 Betts St NE
Albuquerque, NM 87112-4267

Mailing address

1639 Betts St NE
Albuquerque, NM 87112
Phone (505) 292-9071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250219000462 NM Part B Supplier - Clinic/Group Practice 3577083716 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

6707 Academy Rd NE
Ste A
Albuquerque, NM 87109
Phone (505) 292-9071

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1659689164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 BETTS ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87112",
            "telephone_number": "505-292-9071",
            "fax_number": "505-275-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 BETTS ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871124267",
            "telephone_number": "505-292-9071",
            "fax_number": "505-275-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSALOMONE PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "SALOMONE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "505-292-9071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0045",
            "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 Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.