Organization Active NPI

New Experiences Counseling and Consultation, LLC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1679330138
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NEW EXPERIENCES COUNSELING AND CONSULTATION, LLC
Practice address
2727 San Pedro Dr NE Ste 110
Albuquerque, NM 87110-3373
Phone
(505) 670-7765
NPI assigned
Mar 1, 2024
Reactivated
Mar 31, 2026
Last updated
Apr 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Tiffany Wynn, OHDNPI 1225404437
Title
Owner
Phone
(505) 670-7765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

2727 San Pedro Dr NE Ste 110
Albuquerque, NM 87110-3373

Mailing address

5105 Royene Ave NE
Albuquerque, NM 87110-5841
Phone (505) 670-7765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240802001049 NM Part B Supplier - Clinic/Group Practice 8527505999 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

2727 San Pedro Dr NE
Ste 110
Albuquerque, NM 87110
Phone (505) 670-7765

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1679330138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 ROYENE AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105841",
            "telephone_number": "505-670-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 SAN PEDRO DR NE STE 110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103373",
            "telephone_number": "505-670-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW EXPERIENCES COUNSELING AND CONSULTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "deactivation_date": "2026-01-06",
        "reactivation_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-670-7765",
        "authorized_official_credential": "OHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.