Active NPI
Trailheads Counseling & Psychotherapy
- Community/Behavioral Health Agency
- Albuquerque, NM
National Provider Identifier
1689906570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 0093001
- Legal business name
- TRAILHEADS COUNSELING & PSYCHOTHERAPY
- Practice address
- 4233 Montgomery Blvd. NE
BLDG J, Suite 240
Albuquerque, NM 87109 - Phone
- (505) 350-4091
- NPI assigned
- Feb 3, 2010
- Last updated
- Feb 3, 2010
- 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
- Ralph Lind
- Title
- LPCC
- Phone
- (505) 350-4091
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 0093001 | NM | Primary |
Addresses
Primary practice location
4233 Montgomery Blvd. NE
BLDG J, Suite 240
Albuquerque, NM 87109
Mailing address
4233 Montgomery Blvd. NE
BLDG J, Suite 240
Albuquerque, NM 87109
Phone (505) 350-4091
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265155200000",
"number": "1689906570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4233 MONTGOMERY BLVD. NE",
"address_2": "BLDG J, SUITE 240",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87109",
"telephone_number": "505-350-4091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4233 MONTGOMERY BLVD. NE",
"address_2": "BLDG J, SUITE 240",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87109",
"telephone_number": "505-350-4091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRAILHEADS COUNSELING & PSYCHOTHERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-03",
"last_updated": "2010-02-03",
"status": "A",
"authorized_official_last_name": "LIND",
"authorized_official_first_name": "RALPH",
"authorized_official_title_or_position": "LPCC",
"authorized_official_telephone_number": "505-350-4091"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NM",
"license": "0093001",
"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 Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.