Active NPI
Liberated Counseling LLC
- Community/Behavioral Health Agency
- Albuquerque, NM
National Provider Identifier
1760054522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LIBERATED COUNSELING LLC
- Practice address
- 120 Aliso Dr SE
Albuquerque, NM 87108-2693 - Phone
- (505) 504-5449
- NPI assigned
- Jul 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Ratcliff
- Title
- Owner
- Phone
- (505) 504-5449
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
120 Aliso Dr SE
Albuquerque, NM 87108-2693
Mailing address
PO Box 3258
Oregon City, OR 97045-0821
Phone (505) 504-5449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, OR
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231228001398 | NM | Part B Supplier - Clinic/Group Practice | 8022468362 |
Receives reassigned benefits from 1 practitioner Practice locations: Albuquerque, NM |
| O20240112001353 | OR | Part B Supplier - Clinic/Group Practice | 8022468362 |
Receives reassigned benefits from 1 practitioner Practice locations: Oregon City, OR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696464000000",
"number": "1760054522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3258",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970450821",
"telephone_number": "505-504-5449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 ALISO DR SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871082693",
"telephone_number": "505-504-5449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERATED COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-12",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A",
"authorized_official_last_name": "RATCLIFF",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-504-5449"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.