Active NPI
Faith Mental Health and Wellness Services LLC
- Psychiatric/Mental Health Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1760102313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- FAITH MENTAL HEALTH AND WELLNESS SERVICES LLC
- Practice address
- 8206 Louisiana Blvd NE
Albuquerque, NM 87113-1738 - Phone
- (806) 535-3104
- NPI assigned
- Sep 1, 2022
- 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
- Erin Bayles
- Title
- Credentialing Admin
- Phone
- (478) 290-3122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
8206 Louisiana Blvd NE
Albuquerque, NM 87113-1738
Mailing address
204 144TH LN NW
Andover, MN 55304-6277
Phone (806) 535-3104
Other practice location 1
5419 N Lovington Hwy
Hobbs, NM 88240-9131
Phone (806) 535-3104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221005000816 | NM | Part B Supplier - Clinic/Group Practice | 4486030053 |
Receives reassigned benefits from 1 practitioner Practice locations: Albuquerque, NM |
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Hobbs, NM
- NPI 1659977007
NM, Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682640000000",
"number": "1760102313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 144TH LN NW",
"city": "ANDOVER",
"state": "MN",
"postal_code": "553046277",
"telephone_number": "806-535-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8206 LOUISIANA BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871131738",
"telephone_number": "806-535-3104"
}
],
"practiceLocations": [
{
"address_1": "5419 N Lovington Hwy",
"address_purpose": "LOCATION",
"city": "Hobbs",
"state": "NM",
"postal_code": "882409131",
"country_code": "US",
"telephone_number": "806-535-3104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FAITH MENTAL HEALTH AND WELLNESS SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-01",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A",
"authorized_official_last_name": "BAYLES",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "CREDENTIALING ADMIN",
"authorized_official_telephone_number": "478-290-3122"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental 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 Apr 28, 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.