Linda Chace Brislen, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0137521 Issued in NM

Practice address

455 Hanson Rd.
Corrales, NM 87048-0870

Phone

(505) 385-8154

NPI assigned

Apr 12, 2011

Last updated

Apr 12, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Linda Lawrence Former name

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": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1740570712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870480870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 HANSON RD.",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870480870",
            "telephone_number": "505-385-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISLEN",
        "first_name": "LINDA",
        "middle_name": "CHACE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0137521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "LAWRENCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Carol A. Brennan, PH.D.
• Leslie Bryant, MS, CCC-SLP
• Mallory Helen Burnett, M.A. LPCC
• Caitlein Nichole Bye-McCleskey
• Christopher S Cadman, MD
• Sandra J. Carley, ED.D.

• Mental Health Counselor in Corrales, NM
• Providers in Corrales, 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 Apr 12, 2011; 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.