Individual provider Active NPI

Billie K Vesely, LMFT

  • Marriage & Family Therapist
  • Rio Rancho, NM
National Provider Identifier
1659930717
Registry record updated Jul 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
CMF0203901 Issued in NM
Practice address
750 Broadmoor Blvd NE Ste E
Rio Rancho, NM 87124-3442
Phone
(505) 565-7949
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X CMF0203901 NM Primary

Addresses

Primary practice location

750 Broadmoor Blvd NE Ste E
Rio Rancho, NM 87124-3442

Mailing address

1380 Rio Rancho Dr SE # 432
Rio Rancho, NM 87124-1006
Phone (505) 565-7949

Other identifiers 1

IdentifierTypeStateIssuer
43577288MedicaidNM

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
CMF0203901NMMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athena Counseling, LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

750 Broadmoor Blvd NE
Ste E
Rio Rancho, NM 87124
Phone (505) 565-7949

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658534400000",
    "number": "1659930717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 RIO RANCHO DR SE # 432",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241006",
            "telephone_number": "505-565-7949",
            "fax_number": "877-440-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 BROADMOOR BLVD NE STE E",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871243442",
            "telephone_number": "505-565-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESELY",
        "first_name": "BILLIE",
        "middle_name": "K",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2022-07-23",
        "certification_date": "2022-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CMF0203901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43577288",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2022; 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.