Active NPI
Joseph Anthony Mirabal, BA
- Marriage & Family Therapist
- Albuquerque, NM
National Provider Identifier
1730451055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 03-234454-00-6
- Practice address
- 8208 Feathertop Rd SW
Albuquerque, NM 87121-2090 - Phone
- (505) 350-8629
- NPI assigned
- Feb 1, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 03-234454-00-6 | NM | Primary |
Addresses
Primary practice location
8208 Feathertop Rd SW
Albuquerque, NM 87121-2090
Mailing address
8208 Feathertop Rd SW
Albuquerque, NM 87121-2090
Phone (505) 350-8629
Other names 1
- Mr. Joe A Mirabal
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
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328054400000",
"number": "1730451055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8208 FEATHERTOP RD SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871212090",
"telephone_number": "505-350-8629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8208 FEATHERTOP RD SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871212090",
"telephone_number": "505-350-8629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRABAL",
"first_name": "JOSEPH",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "BA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-01",
"last_updated": "2012-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NM",
"license": "03-234454-00-6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOE",
"last_name": "MIRABAL",
"middle_name": "A",
"prefix": "MR.",
"credential": "BA",
"code": "5",
"type": "Other Name"
}
]
}
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 Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.