Active NPI
Inner Connections Mental Wellness LLC
- Mental Health Counselor
- Rio Rancho, NM
National Provider Identifier
1689408726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- INNER CONNECTIONS MENTAL WELLNESS LLC
- Doing business as
- Inner Connections Mental Wellness LLC
- Practice address
- 1500 5TH St SE
Rio Rancho, NM 87124-1467 - Phone
- (505) 280-1928
- NPI assigned
- Aug 30, 2024
- Last updated
- Aug 30, 2024
- 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
- Lou Duran
- Title
- Credentialing and Billing
- Phone
- (505) 270-3966
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1500 5TH St SE
Rio Rancho, NM 87124-1467
Mailing address
1500 5TH St SE
Rio Rancho, NM 87124-1467
Phone (505) 280-1928
Other names 1
- Inner Connections Mental Wellness LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1724976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724976000000",
"number": "1689408726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 5TH ST SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871241467",
"telephone_number": "505-280-1928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 5TH ST SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871241467",
"telephone_number": "505-280-1928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNER CONNECTIONS MENTAL WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-30",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A",
"authorized_official_last_name": "DURAN",
"authorized_official_first_name": "LOU",
"authorized_official_title_or_position": "CREDENTIALING AND BILLING",
"authorized_official_telephone_number": "505-270-3966"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Inner Connections Mental Wellness LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.