Faith & Grace Therapeutic Services and Consultation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FAITH & GRACE THERAPEUTIC SERVICES AND CONSULTATION

Doing business as

Faith & Grace Therapeutic Services

Practice address

4110 Wolcott Ave NE Ste B
Albuquerque, NM 87109-4598

Phone

(505) 331-3644

NPI assigned

May 5, 2022

Last updated

May 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine Ross, PH.D.NPI 1679887459

Title

Owner

Phone

(505) 980-7219

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Faith & Grace Therapeutic Services Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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.

• Christine Ross, PH.D., LMFT

  • Marriage & Family Therapist
  • Albuquerque, NM
  • NPI 1679887459
  NPD Authorized official

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1710623558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 WYOMING BLVD NE STE M4-363",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131946",
            "telephone_number": "505-331-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 WOLCOTT AVE NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094598",
            "telephone_number": "505-331-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH & GRACE THERAPEUTIC SERVICES AND CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-980-7219",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26303256",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.ross@faithgrace.com",
            "affiliation": "N",
            "address_1": "4110 Wolcott Ave NE Ste B",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871094598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Faith & Grace Therapeutic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanna Fair, M.D., PH. D.
• Isabel Faircloth, CRNA
• Kristin J Fairey, MA LPCC
• Jaymes Vincent Fairfax-Columbo, JD/PHD
• Faith & Grace Therapeutic Services
• Faith and Hope Care
• Faith and Hope Care
• Faith and Justice Center, Inc.
• Faith Mental Health and Wellness Services LLC
• Faith Works Counseling LLC

• Community/Behavioral Health Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.