Organization Active NPI

The Center for Life Changes

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1689147621
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE CENTER FOR LIFE CHANGES
Practice address
3321B Candelaria Rd NE Ste 310
Albuquerque, NM 87107-1908
Phone
(505) 482-7252
Fax
(505) 554-3435
NPI assigned
Jan 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Dr. Alex Babani, LPCC
Title
Owner/Member
Phone
(505) 492-7252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3321B Candelaria Rd NE Ste 310
Albuquerque, NM 87107-1908

Mailing address

3321B Candelaria Rd NE Ste 310
Albuquerque, NM 87107-1908
Phone (505) 792-7252

Other identifiers 1

IdentifierTypeStateIssuer
29502047MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240125003665 NM Part B Supplier - Clinic/Group Practice 2062865066 Receives reassigned benefits from 2 practitioners
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1689147621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321B CANDELARIA RD NE STE 310",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071908",
            "telephone_number": "505-792-7252",
            "fax_number": "505-554-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321B CANDELARIA RD NE STE 310",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071908",
            "telephone_number": "505-482-7252",
            "fax_number": "505-554-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR LIFE CHANGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "BABANI",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "505-492-7252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29502047",
            "state": "NM"
        }
    ],
    "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 Jan 4, 2024; 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.