Individual provider Active NPI

Victor Manuel Arrey, MPA, LADAC

  • Addiction (Substance Use Disorder) Counselor
  • Albuquerque, NM
National Provider Identifier
1689941551
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
3841 Issued in NM
Practice address
380 Dolores Dr NW
Albuquerque, NM 87105-1954
Phone
(505) 715-9328
Fax
(505) 242-1158
NPI assigned
Nov 21, 2011
Last updated
Nov 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 3841 NM Primary
Mental Health Counselor 101YM0800X 2364 NM

Addresses

Primary practice location

380 Dolores Dr NW
Albuquerque, NM 87105-1954

Mailing address

1500 Walter St SE
Suite 108
Albuquerque, NM 87102-4658
Phone (505) 715-9328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2364NMMDOptometrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1689941551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WALTER ST SE",
            "address_2": "SUITE 108",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871024658",
            "telephone_number": "505-715-9328",
            "fax_number": "505-242-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 DOLORES DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871051954",
            "telephone_number": "505-715-9328",
            "fax_number": "505-242-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARREY",
        "first_name": "VICTOR",
        "middle_name": "MANUEL",
        "name_prefix": "Mr.",
        "credential": "MPA, LADAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "3841",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "2364",
            "primary": false
        }
    ],
    "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 Nov 21, 2011; 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.