NPIMap

Cathann Dragone-Gutierrez, MA LPC NCC

Individual provider Active NPI Professional Counselor · Albuquerque, NM

NPI 1710101464 · NPPES record last updated Mar 24, 2010

Key facts

NPI
1710101464
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
0093771 (NM)
Practice address
2403 San Mateo Blvd NE
S-14
Albuquerque, NM 87110-4058
Phone
(505) 830-1871
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0093771NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Family Institute Counselor Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0093771 NM
Mental Health Counselor 101YM0800X 0093771 NM
Professional Counselor 101YP2500X 0093771 NM Yes
School Counselor 101YS0200X 0093771 NM

Addresses

Primary practice location

2403 San Mateo Blvd NE
S-14
Albuquerque, NM 87110-4058

Mailing address

1015 Monroe St NE
Albuquerque, NM 87110-5821
Phone (505) 307-1059

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Professional Counselor in New Mexico

Sources for this page

Verify at the official NPI Registry.