Debra Vetterman, LPCC, LPAT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCC#1753 Issued in NM

Practice address

127 Bryn Mawr Dr SE Ste a
Albuquerque, NM 87106-2265

Phone

(505) 265-2006

Fax

(505) 847-0681

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720136864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 622",
            "city": "MOUNTAINAIR",
            "state": "NM",
            "postal_code": "870360622",
            "telephone_number": "505-265-2006",
            "fax_number": "505-847-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 BRYN MAWR DR SE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062265",
            "telephone_number": "505-265-2006",
            "fax_number": "505-847-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETTERMAN",
        "first_name": "DEBRA",
        "credential": "LPCC, LPAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "LPCC#1753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A1965",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8772304",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81200722",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.