Individual provider Active NPI

Ana Maria Bisono, LPCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1710574546
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CTB20230540 Issued in NM
Practice address
500 4TH St NW Ste 102
Albuquerque, NM 87102-2104
Phone
(505) 810-2098
NPI assigned
Dec 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CTB20230540 NM Primary

Addresses

Primary practice location

500 4TH St NW Ste 102
Albuquerque, NM 87102-2104

Mailing address

500 4TH St NW Ste 102
Albuquerque, NM 87102-2104

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
CTB20230540NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Caterpillar Counseling LLC Professional Current Accepting new patients
The Community Lighthouse PastSince Jan 1, 2021 Accepting new patients
The Community Lighthouse PastSince Jan 1, 2021 Accepting new patients

Locations

500 4th St NW
Ste 102
Albuquerque, NM 87102
Phone (505) 356-7650

Organizations & group practices 3

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": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1710574546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 4TH ST NW STE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 4TH ST NW STE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022104",
            "telephone_number": "505-810-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISONO",
        "first_name": "ANA",
        "middle_name": "MARIA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB20230540",
            "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 Sep 21, 2023; 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.