Individual provider Active NPI

Katherine Pamela Catanach

  • Marriage & Family Therapist
  • Albuquerque, NM
National Provider Identifier
1770112997
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
CTB-2024-0430 Issued in NM
Practice address
7520 Montgomery Blvd NE BLDG E15
Albuquerque, NM 87109-1586
Phone
(505) 226-6380
Fax
(505) 214-5852
NPI assigned
Apr 8, 2020
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X CTB-2024-0430 NM Primary

Addresses

Primary practice location

7520 Montgomery Blvd NE BLDG E15
Albuquerque, NM 87109-1586

Mailing address

7520 Montgomery Blvd NE BLDG E15
Albuquerque, NM 87109-1586
Phone (505) 226-6380

Other names 1

  • Katherine Pamela Kostelecky Former name

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
I20240626003757 NM Practitioner - Marriage and Family Therapist 8123562543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unabridged Counseling and Coaching, LLCGroup PAC ID 6709145816, 4 clinicians

Practice addresses (Care Compare)

7520 Montgomery Blvd NE
BLDG. E15
Albuquerque, NM 87109-1586
Phone (505) 226-6380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Unabridged Counseling and Coaching, LLC CurrentSince Mar 26, 2024 Accepting new patients
Therapeutic Change PLLC Marriage & Family Therapist PastSince Apr 1, 2020 Accepting new patients

Locations

7510 Montgomery Blvd NE
Ste 202
Albuquerque, NM 87109
Phone (505) 514-3972

7520 Montgomery Blvd NE
Bldg E15
Albuquerque, NM 87109
Phone (505) 226-6380

8100 Wyoming Blvd NE
Ste M4
Albuquerque, NM 87113
Phone (505) 301-1105

Organizations & group practices 2

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": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1770112997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 MONTGOMERY BLVD NE BLDG E15",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091586",
            "telephone_number": "505-226-6380",
            "fax_number": "505-214-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 MONTGOMERY BLVD NE BLDG E15",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091586",
            "telephone_number": "505-226-6380",
            "fax_number": "505-214-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATANACH",
        "first_name": "KATHERINE",
        "middle_name": "PAMELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CTB-2024-0430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "KOSTELECKY",
            "middle_name": "PAMELA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.