Active NPI
Mind Heart and Soul Counseling LLC
- Professional Counselor
- Albuquerque, NM
National Provider Identifier
1689214959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MIND HEART AND SOUL COUNSELING LLC
- Practice address
- 315 Alameda Blvd NE Ste a
Albuquerque, NM 87113-2155 - Phone
- (505) 220-5809
- NPI assigned
- Jan 14, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tyra Jean Russell Fox, LLPC
- Title
- Clinical Mental Health Counselor
- Phone
- (505) 220-5809
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
315 Alameda Blvd NE Ste a
Albuquerque, NM 87113-2155
Mailing address
PO Box 15454
Rio Rancho, NM 87174-0454
Phone (505) 220-5809
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56552564 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
315 Alameda Blvd NE
Ste A
Albuquerque, NM 87113
Phone (505) 220-5809
Practitioners & affiliated clinicians
Practitioners 1
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": "1578960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781740800000",
"number": "1689214959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15454",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871740454",
"telephone_number": "505-220-5809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 ALAMEDA BLVD NE STE A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871132155",
"telephone_number": "505-220-5809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND HEART AND SOUL COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-14",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A",
"authorized_official_last_name": "RUSSELL FOX",
"authorized_official_first_name": "TYRA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "CLINICAL MENTAL HEALTH COUNSELOR",
"authorized_official_telephone_number": "505-220-5809",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LLPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "56552564",
"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 Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.