Adventure in Faith Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0182901 Issued in NM

Legal business name

ADVENTURE IN FAITH COUNSELING, LLC

Practice address

1815 Las Lomas Rd NE
Albuquerque, NM 87106-3803

Phone

(505) 503-5978

Fax

(505) 212-1873

NPI assigned

Mar 16, 2017

Last updated

Mar 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christella Mata-Hartshorn, LPCC, PHDNPI 1316331010

Title

Owner

Phone

(505) 503-5978

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christella Mata-Hartshorn, PHD,NCC,LPCC

  • Professional Counselor
  • Rio Rancho, NM
  • NPI 1316331010
  NPD (past) Authorized official

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1699216119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 SIERRA NORTE LOOP NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871442520",
            "telephone_number": "505-503-5978",
            "fax_number": "505-212-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 LAS LOMAS RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871063803",
            "telephone_number": "505-503-5978",
            "fax_number": "505-212-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTURE IN FAITH COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "MATA-HARTSHORN",
        "authorized_official_first_name": "CHRISTELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-503-5978",
        "authorized_official_credential": "LPCC, PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0182901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Albuquerque, NM
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.