Individual provider Active NPI

Kristopher David Wessel, MSW

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1710245352
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
M-07638 Issued in NM
Practice address
1218 Griegos Rd NW # 87107
Albuquerque, NM 87107-3752
Phone
(505) 345-8471
NPI assigned
May 2, 2012
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M-07638NMMDMental Health Counselor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X M-07638 NM Primary

Addresses

NPPES NPI Registry

Primary practice location

1218 Griegos Rd NW # 87107
Albuquerque, NM 87107-3752

Mailing address

1218 Griegos Rd NW # 87107
Albuquerque, NM 87107-3752
Phone (505) 345-8471

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 2, 2012.

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1710245352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 GRIEGOS RD NW # 87107",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073752",
            "telephone_number": "505-345-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 GRIEGOS RD NW # 87107",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073752",
            "telephone_number": "505-345-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESSEL",
        "first_name": "KRISTOPHER",
        "middle_name": "DAVID",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "M-07638",
            "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 May 2, 2012; 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.