Organization Active NPI

Shavano Counseling Services

Doing business as Joshua Newman, LPCC counseling services

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1710323829
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0157231 Issued in NM
Legal business name
SHAVANO COUNSELING SERVICES
Doing business as
Joshua Newman, LPCC counseling services
Practice address
1330 Lomas Blvd NW
Albuquerque, NM 87104-1234
Phone
(479) 530-5772
Fax
(866) 751-2593
NPI assigned
May 15, 2013
Last updated
May 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Authorized official

Name
Joshua Anderson Newman, LPCCNPI 1972534899
Title
Counselor
Phone
(479) 530-5772

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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0157231 NM Primary

Addresses

Primary practice location

1330 Lomas Blvd NW
Albuquerque, NM 87104-1234

Mailing address

1330 Lomas Blvd NW
Albuquerque, NM 87104-1234
Phone (479) 530-5772

Other names 1

  • Joshua Newman, LPCC counseling services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250522003597 NM Part B Supplier - Clinic/Group Practice 2062931942 Receives reassigned benefits from 3 practitioners
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

1102 Mountain Rd NW
Ste 202
Albuquerque, NM 87102
Phone (505) 315-0656

1330 Lomas Blvd NW
Albuquerque, NM 87104
Phone (505) 600-1819

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1710323829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 LOMAS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871041234",
            "telephone_number": "479-530-5772",
            "fax_number": "866-751-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 LOMAS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871041234",
            "telephone_number": "479-530-5772",
            "fax_number": "866-751-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAVANO COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "479-530-5772",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0157231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joshua Newman, LPCC counseling services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.