Mallory Rae Michele Patterson

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

6801 Jefferson St NE Ste 301
Albuquerque, NM 87109-7390

Phone

(505) 705-1701

Fax

(505) 212-1253

NPI assigned

May 31, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Clinical Assessment Group, LLC

  • General Practice Physician
  • Albuquerque, NM
  • NPI 1063862241
  NPD
• Integrition, LLC

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1013716034
  NPD

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1679314017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075A MERCURY CIR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871163020",
            "telephone_number": "228-243-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 JEFFERSON ST NE STE 301",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871097390",
            "telephone_number": "505-705-1701",
            "fax_number": "505-212-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "MALLORY",
        "middle_name": "RAE MICHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Anne Patterson, M.S. SLP-CCC
• Kamilah Patterson
• Kayla Lee Ann Patterson, PA-C
• Kevin Patterson, LPCC
• Linsey Patterson, LMSW
• Samantha Nicole Patterson
• Scott J. Patterson, MA, LPCC, LADAC
• Christopher P Patton, D.O.
• Jennifer Jean Patton, LMSW
• Joshua N Patton, LSAA

• Addiction (Substance Use Disorder) Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.