Active NPI
Wilhelmina Thunderchief, LPCC
- Professional Counselor
- Albuquerque, NM
National Provider Identifier
1679786743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0082511
- Practice address
- 2403 San Mateo Blvd NE
Suite W11B
Albuquerque, NM 87110-4058 - Phone
- (505) 232-3000
- Fax
- (505) 232-3006
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0082511 | NM | Primary |
Addresses
Primary practice location
2403 San Mateo Blvd NE
Suite W11B
Albuquerque, NM 87110-4058
Mailing address
13170 Central Ave SE Ste B
Ste 129
Albuquerque, NM 87123-5588
Phone (505) 346-9428
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0082511 | NM | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1679786743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13170 CENTRAL AVE SE STE B",
"address_2": "STE 129",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871235588",
"telephone_number": "505-346-9428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2403 SAN MATEO BLVD NE",
"address_2": "SUITE W11B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871104058",
"telephone_number": "505-232-3000",
"fax_number": "505-232-3006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THUNDERCHIEF",
"first_name": "WILHELMINA",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0082511",
"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 Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.