NPIMap

Organization Active NPI

Mesa Behavioral Management, Inc.

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1689970329
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4379483 Issued in NM
Legal business name
MESA BEHAVIORAL MANAGEMENT, INC.
Practice address
6211 San Mateo Blvd NE
Suite 170
Albuquerque, NM 87109-3533
Phone
(505) 816-6700
Fax
(505) 816-6701
NPI assigned
Jan 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Authorized official

Name
Ms. Caren Waters
Title
Controller
Phone
(505) 816-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 4379483 NM Primary

Addresses

Primary practice location

6211 San Mateo Blvd NE
Suite 170
Albuquerque, NM 87109-3533

Mailing address

6211 San Mateo Blvd NE
Suite 170
Albuquerque, NM 87109-3533
Phone (505) 816-6700

National Provider Directory

National Provider Directory

Locations

6211 San Mateo Blvd NE
Ste 170
Albuquerque, NM 87109
Phone (505) 816-6700

Practitioners & affiliated clinicians

Practitioners 2

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": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1689970329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 SAN MATEO BLVD NE",
            "address_2": "SUITE 170",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093533",
            "telephone_number": "505-816-6700",
            "fax_number": "505-816-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 SAN MATEO BLVD NE",
            "address_2": "SUITE 170",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093533",
            "telephone_number": "505-816-6700",
            "fax_number": "505-816-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA BEHAVIORAL MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "CAREN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "505-816-6700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "4379483",
            "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 Jan 27, 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.