Active NPI
Roadrunner Recovery Services LLC
- Addiction (Substance Use Disorder) Counselor
- Albuquerque, NM
National Provider Identifier
1699395368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- ROADRUNNER RECOVERY SERVICES LLC
- Practice address
- 505 13TH St SW Apt a
Albuquerque, NM 87102-2873 - Phone
- (505) 221-4009
- NPI assigned
- Apr 22, 2020
- 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
- James Cooper
- Title
- Owner
- Phone
- (505) 221-4009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
505 13TH St SW Apt a
Albuquerque, NM 87102-2873
Mailing address
505 13TH St SW Apt a
Albuquerque, NM 87102-2873
Phone (505) 221-4009
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587513600000",
"number": "1699395368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 13TH ST SW APT A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022873",
"telephone_number": "505-221-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 13TH ST SW APT A",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022873",
"telephone_number": "505-221-4009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROADRUNNER RECOVERY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-22",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-221-4009"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"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 Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.