Organization Active NPI

New Mexico Counseling and Brain Health

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1699117275
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-08251 Issued in NM
Legal business name
NEW MEXICO COUNSELING AND BRAIN HEALTH
Practice address
6121 Indian School Rd NE Ste 103
Albuquerque, NM 87110-4165
Phone
(505) 338-0720
NPI assigned
Jul 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Mrs. Jennifer Marie Harrison-Sanchez, LMSWNPI 1235472382
Title
Director of Program Development
Phone
(505) 338-0720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X I-08251 NM Primary

Addresses

Primary practice location

6121 Indian School Rd NE Ste 103
Albuquerque, NM 87110-4165

Mailing address

6121 Indian School Rd NE Ste 103
Albuquerque, NM 87110-4165
Phone (505) 338-0720

Other identifiers 2

IdentifierTypeStateIssuer
289538YQQAOtherNMMEDICARE MEMBER PROVIDER NUMBER
277544OtherNMPTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1699117275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 INDIAN SCHOOL RD NE STE 103",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104165",
            "telephone_number": "505-338-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 INDIAN SCHOOL RD NE STE 103",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104165",
            "telephone_number": "505-338-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO COUNSELING AND BRAIN HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "HARRISON-SANCHEZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF PROGRAM DEVELOPMENT",
        "authorized_official_telephone_number": "505-338-0720",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-08251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MEMBER PROVIDER NUMBER",
            "identifier": "289538YQQA",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "277544",
            "state": "NM"
        }
    ],
    "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 Jul 23, 2013; 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.