Individual provider Active NPI

Erin Osbourn Coon

  • School Social Worker
  • Albuquerque, NM
National Provider Identifier
1720575095
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
Practice address
2424 Juan Tabo Blvd NE # Me
Albuquerque, NM 87112-1818
Phone
(505) 205-0238
NPI assigned
Apr 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X NM
School Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041S0200X Primary

Addresses

Primary practice location

2424 Juan Tabo Blvd NE # Me
Albuquerque, NM 87112-1818

Mailing address

909 Kipuka Dr NW
Albuquerque, NM 87120-1087
Phone (505) 205-0238

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
I20240402001047 NM Practitioner - Clinical Social Worker 9032557624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wise Mind CounselingGroup PAC ID 5193153526, 8 clinicians

Practice addresses (Care Compare)

2424 Juan Tabo Blvd NE
Albuquerque, NM 87112-1818
Phone (505) 317-3792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Mind Counseling Multi-Specialty CurrentSince Mar 23, 2024 Accepting new patients

Locations

8214 2nd St NW
Ste C
Albuquerque, NM 87114
Phone (505) 317-3792

2424 Juan Tabo Blvd NE
Albuquerque, NM 87112
Phone (505) 317-3792

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": "1524355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1720575095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 KIPUKA DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201087",
            "telephone_number": "505-205-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 JUAN TABO BLVD NE # ME",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121818",
            "telephone_number": "505-205-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBOURN COON",
        "first_name": "ERIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-22",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.