Individual provider Active NPI

Loan Phan, PHD

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1720574304
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0063831 Issued in NM
Practice address
10401 Montgomery Pkwy NE Ste 1-K
Albuquerque, NM 87111-3876
Phone
(505) 227-7623
NPI assigned
Jul 6, 2018
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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 0063831 NM Primary

Addresses

Primary practice location

10401 Montgomery Pkwy NE Ste 1-K
Albuquerque, NM 87111-3876

Mailing address

10401 Montgomery Pkwy NE Ste 1-K
Albuquerque, NM 87111-3876
Phone (505) 227-7623

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
I20250218000420 NM Practitioner - Mental Health Counselor 0042730376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Counseling Services, LLCGroup PAC ID 8224558556, 2 clinicians

Practice addresses (Care Compare)

10401 Montgomery Pkwy NE
Suite 1 K
Albuquerque, NM 87111-3876
Phone (505) 227-7623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0063831NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Counseling Services, LLC CurrentSince Jan 1, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1720574304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 MONTGOMERY PKWY NE STE 1-K",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113876",
            "telephone_number": "505-227-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 MONTGOMERY PKWY NE STE 1-K",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113876",
            "telephone_number": "505-227-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "LOAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0063831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.