Organization Active NPI

Mind Heart and Soul Counseling LLC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1689214959
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Mrs. Tyra Jean Russell Fox, LLPCNPI 1437519576
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
56552564MedicaidNM

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.