NPIMap

Organization Active NPI

Compassionate Counseling Psychotherapy Service LLC

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1740734755
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-2163 Issued in NM
Legal business name
COMPASSIONATE COUNSELING PSYCHOTHERAPY SERVICE LLC
Practice address
5800 McLeod Rd NE
Suite E
Albuquerque, NM 87109-2454
Phone
(505) 688-9221
NPI assigned
Aug 8, 2016
Last updated
Aug 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Authorized official

Name
R Michael Westbay, LCSW
Title
Clinical Social Worker
Phone
(505) 688-9221

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 2575 NM
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X C-2163 NM Primary

Addresses

Primary practice location

5800 McLeod Rd NE
Suite E
Albuquerque, NM 87109-2454

Mailing address

4607 Jamaica Dr NE
Albuquerque, NM 87111-2839
Phone (505) 688-9221

Other identifiers 2

IdentifierTypeStateIssuer
85971511MedicaidNM
000J4878MedicaidNM

National Provider Directory

National Provider Directory

Locations

5800 McLeod Rd NE
Ste E
Albuquerque, NM 87109
Phone (505) 263-3590

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1740734755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 JAMAICA DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112839",
            "telephone_number": "505-688-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 MCLEOD RD NE",
            "address_2": "SUITE E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092454",
            "telephone_number": "505-688-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE COUNSELING PSYCHOTHERAPY SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "WESTBAY",
        "authorized_official_first_name": "R MICHAEL",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "505-688-9221",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "2575",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-2163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85971511",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000J4878",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 8, 2016; 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.