Organization Active NPI

Trailheads Counseling & Psychotherapy

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1689906570
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0093001 Issued in NM
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.