Individual provider Active NPI

Jennie Dunnell, LMHC

  • Mental Health Counselor
  • Los Lunas, NM
National Provider Identifier
1710461975
Registry record updated Sep 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
T-CTL0199261 Issued in NM
Practice address
1941 Camino Rincon SW
Los Lunas, NM 87031-8842
Phone
(505) 322-5856
NPI assigned
Sep 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X T-CTL0199261 NM Primary

Addresses

Primary practice location

1941 Camino Rincon SW
Los Lunas, NM 87031-8842

Mailing address

1941 Camino Rincon SW
Los Lunas, NM 87031-8842
Phone (505) 322-5856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231212002351 NM Practitioner - Mental Health Counselor 5092164376 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-CTL0199261NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gia Family Counseling, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

8226 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 413-3719

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.

NPI Registry JSON

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

{
    "created_epoch": "1537660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537660800000",
    "number": "1710461975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 CAMINO RINCON SW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870318842",
            "telephone_number": "505-322-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 CAMINO RINCON SW",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870318842",
            "telephone_number": "505-322-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNNELL",
        "first_name": "JENNIE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-23",
        "last_updated": "2018-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-CTL0199261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Lunas, NM

Sources for this page

Verify at the official NPI Registry.