Individual provider Active NPI

Juliana J Hine, MED, LPCC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1669901013
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CCMH0212621 Issued in NM
Practice address
1609 Vermont St NE
Albuquerque, NM 87110-6035
Phone
(505) 506-8244
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
Yes

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.

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
CCMH0212621NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Turquoise Wings Counseling, LLC Mental Health CurrentSince Aug 14, 2022 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CCMH0212621 NM Primary

Addresses

NPPES NPI Registry

Primary practice location

1609 Vermont St NE
Albuquerque, NM 87110-6035

Mailing address

1609 Vermont St NE
Albuquerque, NM 87110-6035
Phone (505) 506-8244

Other practice location 1

4706 Crest Ave SE
Albuquerque, NM 87108-4507
Phone (505) 506-8244

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1669901013MedicaidNM

Other names 1

NPPES NPI Registry
  • Ms. Juliana J Whitesell Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 16, 2022.

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1669901013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 VERMONT ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106035",
            "telephone_number": "505-506-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 VERMONT ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106035",
            "telephone_number": "505-506-8244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4706 Crest Ave SE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871084507",
            "country_code": "US",
            "telephone_number": "505-506-8244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINE",
        "first_name": "JULIANA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MED, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH0212621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669901013",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIANA",
            "last_name": "WHITESELL",
            "middle_name": "J",
            "prefix": "MS.",
            "credential": "MED, LPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 16, 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.