Individual provider Active NPI

Tara Mercedes Lobaina

  • Marriage & Family Therapist
  • Albuquerque, NM
National Provider Identifier
1669114427
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T-CTL0224631 Issued in NM
Practice address
8214 2ND St NW
Albuquerque, NM 87114-1090
Phone
(505) 308-5226
NPI assigned
Apr 12, 2022
Last updated
Apr 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 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 T-CTL0224631 NM Primary

Addresses

Primary practice location

8214 2ND St NW
Albuquerque, NM 87114-1090

Mailing address

2625 Aspen Ave NW
Albuquerque, NM 87104-1921
Phone (505) 415-9935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241003004239 NM Practitioner - Marriage and Family Therapist 2769913581 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-CTL0224631NMMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Counseling Center CurrentSince Jan 1, 2025 Accepting new patients

Locations

3949 Corrales Rd
Ste 205
Corrales, NM 87048
Phone (505) 385-0439

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": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1669114427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 ASPEN AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871041921",
            "telephone_number": "505-415-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8214 2ND ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141090",
            "telephone_number": "505-308-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBAINA",
        "first_name": "TARA",
        "middle_name": "MERCEDES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "T-CTL0224631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.