Active NPI
New Mexico Counseling and Brain Health
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1699117275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-08251
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennifer Marie Harrison-Sanchez, LMSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 289538YQQA | Other | NM | MEDICARE MEMBER PROVIDER NUMBER |
| 277544 | Other | NM | PTAN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Albuquerque, NM
- NPI 1235472382
-
- Clinical Social Worker
- Albuquerque, NM
- NPI 1346584042
-
- Mental Health Counselor
- Albuquerque, NM
- NPI 1245574763
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
- New Mexico Colon & Rectal Surgery Associates
- New Mexico Community Care
- New Mexico Community Dental
- New Mexico Consumer Direct Personal Care, LLC
- New Mexico Counseling & Trauma Recovery
- New Mexico CPM Inc
- New Mexico Dentistry Prada, PLLC
- New Mexico Department of Health
- New Mexico Department of Health
- New Mexico Dermatology Associates, P.a.
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.