Individual provider Active NPI

Alexis Dominique Amor

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1750912283
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3939 San Pedro Dr NE BLDG B1
Albuquerque, NM 87110-8903
Phone
(505) 440-7600
Fax
(505) 344-2104
NPI assigned
Feb 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3939 San Pedro Dr NE BLDG B1
Albuquerque, NM 87110-8903

Mailing address

3939 San Pedro Dr NE BLDG B1
Albuquerque, NM 87110-8903
Phone (505) 440-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mending Hearts, LLC CurrentSince Jul 9, 2025 Accepting new patients

Locations

3939 San Pedro Dr NE
Bldg B1
Albuquerque, NM 87110
Phone (505) 440-7600

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": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1750912283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 SAN PEDRO DR NE BLDG B1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871108903",
            "telephone_number": "505-440-7600",
            "fax_number": "505-344-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 SAN PEDRO DR NE BLDG B1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871108903",
            "telephone_number": "505-440-7600",
            "fax_number": "505-344-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOR",
        "first_name": "ALEXIS",
        "middle_name": "DOMINIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "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.