Elesha Kay Fetrow, LMHC. NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0169831 Issued in NM

Practice address

8100 Mountain Rd NE
Suite 200 B
Albuquerque, NM 87110-7818

Phone

(505) 830-6500

Fax

(505) 830-6527

NPI assigned

Mar 8, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1425772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425772800000",
    "number": "1750774279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 MOUNTAIN RD NE",
            "address_2": "SUITE 200 B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107818",
            "telephone_number": "505-830-6500",
            "fax_number": "505-830-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 MOUNTAIN RD NE",
            "address_2": "SUITE 200 B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107818",
            "telephone_number": "505-830-6500",
            "fax_number": "505-830-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETROW",
        "first_name": "ELESHA",
        "middle_name": "KAY",
        "credential": "LMHC. NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-08",
        "last_updated": "2015-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0169831",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NM",
            "license": "320424",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Ferriegel, LPCC
• Elizabeth Brosnahan Ferris, PA-C
• Daniel Scott Ferryman
• Mellisa Fether
• Jean Fetner, OT
• Jessica M. Fett, PSYD
• Alexander Clyde Feuchter, M.D.
• Juanita R Feuchter, PA-C
• Robert Z Fialkow, M.D.
• Frederick Fiber, MD

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, 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 Mar 8, 2015; 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.