Organization Active NPI

Bhakti Behavioral Health Clinic LLC

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1770214223
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BHAKTI BEHAVIORAL HEALTH CLINIC LLC
Practice address
10401 Montgomery Pkwy NE Ste 1a
Albuquerque, NM 87111-3876
Phone
(678) 334-6879
NPI assigned
Jun 23, 2022
Last updated
Jun 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Mr. Lance T Lashley, LCSWNPI 1598438491
Title
Clinic Director/ Member
Phone
(678) 334-6879

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

10401 Montgomery Pkwy NE Ste 1a
Albuquerque, NM 87111-3876

Mailing address

27 Jema CT
Iowa City, IA 52246-4532
Phone (678) 334-6879

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.bbhclinic.com/scheduling Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1770214223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 JEMA CT",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464532",
            "telephone_number": "678-334-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 MONTGOMERY PKWY NE STE 1A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113876",
            "telephone_number": "678-334-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHAKTI BEHAVIORAL HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "LASHLEY",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CLINIC DIRECTOR/ MEMBER",
        "authorized_official_telephone_number": "678-334-6879",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.bbhclinic.com/scheduling",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "10401 Montgomery Pkwy NE Ste 1A",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871113876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.