Individual provider Active NPI

Blanca Elia

  • Counselor
  • Bernalillo, NM
National Provider Identifier
1760566558
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
T-0109681 Issued in NM
Practice address
872 S Camino del Pueblo
Bernalillo, NM 87004-5927
Phone
(505) 867-2383
Fax
(505) 867-7293
NPI assigned
Oct 25, 2006
Last updated
May 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X T-0109681 NM Primary

Addresses

Primary practice location

872 S Camino del Pueblo
Bernalillo, NM 87004-5927

Mailing address

2903 Jefferson St NE
Albuquerque, NM 87110-3007
Phone (505) 867-2383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250207001235 NM Practitioner - Mental Health Counselor 6901336833 Practice locations: Albuquerque, NM

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2701 San Pedro Dr NE
Suite 5
Albuquerque, NM 87110-3399
Phone (505) 710-2291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-0109681NMMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Platicas Counselor Past Accepting new patients
La Buena Vida, Inc. Past Accepting new patients
Valle del Sol of New Mexico, LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1760566558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 JEFFERSON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103007",
            "telephone_number": "505-867-2383",
            "fax_number": "505-867-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 S CAMINO DEL PUEBLO",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870045927",
            "telephone_number": "505-867-2383",
            "fax_number": "505-867-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIA",
        "first_name": "BLANCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "T-0109681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bernalillo, NM

Sources for this page

Verify at the official NPI Registry.