Individual provider Active NPI

Roylee Hedges Accetta, LMHC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1669784534
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
T0131931
Practice address
8205 Spain Rd NE
Suite 106
Albuquerque, NM 87109-3179
Phone
(505) 856-0300
Fax
(505) 856-7946
NPI assigned
Jul 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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 T0131931 Primary

Addresses

Primary practice location

8205 Spain Rd NE
Suite 106
Albuquerque, NM 87109-3179

Mailing address

8205 Spain Rd NE
Suite 106
Albuquerque, NM 87109-3179
Phone (505) 856-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Formation Counseling Services Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

8600 Academy Rd NE
Albuquerque, NM 87111

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": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1669784534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 SPAIN RD NE",
            "address_2": "SUITE 106",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093179",
            "telephone_number": "505-856-0300",
            "fax_number": "505-856-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8205 SPAIN RD NE",
            "address_2": "SUITE 106",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093179",
            "telephone_number": "505-856-0300",
            "fax_number": "505-856-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGES ACCETTA",
        "first_name": "ROYLEE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "T0131931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.