Individual provider Active NPI

Denise Lerouge, CPSW

  • Case Manager/Care Coordinator
  • Albuquerque, NM
National Provider Identifier
1679196489
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
203 California St NE
Albuquerque, NM 87108-1802
Phone
(505) 308-8296
NPI assigned
May 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 1003 NM
Case Manager/Care Coordinator 171M00000X NM Primary

Addresses

Primary practice location

203 California St NE
Albuquerque, NM 87108-1802

Mailing address

9201 Montgomery Blvd NE BLDG 5
Albuquerque, NM 87111-2468
Phone (505) 217-1717

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
1003NMMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Recovery Center, Inc. PastSince May 1, 2020 Accepting new patients
Turning Point Detox, LLC PastSince May 1, 2020 Accepting new patients

Organizations & group practices 2

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": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1679196489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 MONTGOMERY BLVD NE BLDG 5",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112468",
            "telephone_number": "505-217-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 CALIFORNIA ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081802",
            "telephone_number": "505-308-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEROUGE",
        "first_name": "DENISE",
        "credential": "CPSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NM",
            "license": "1003",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NM",
            "license": null,
            "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 19, 2021; 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.