Lumina Mental Health, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LUMINA MENTAL HEALTH, LLC

Practice address

10815 Chicobush Dr NW
Albuquerque, NM 87114-5550

Phone

(505) 289-3984

NPI assigned

Jul 3, 2024

Last updated

Jul 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Reyna Amanda Garcia, LPCC, NCCNPI 1194493486

Title

Owner/Clinician

Phone

(505) 289-3984

Specialties & licenses 1

Addresses

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.

• Reyna Amanda Garcia, LPCC, NCC

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1194493486
  NPD Authorized official

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1770329294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67133",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871937133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 CHICOBUSH DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145550",
            "telephone_number": "505-289-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINA MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "REYNA",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "505-289-3984",
        "authorized_official_credential": "LPCC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clara Luna Fernandez, RBT
• Paulina Del Carmen Luna Iniguez, M.D.
• Luna Vista Home Healthcare LLC

• Adult Mental Health Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Adult Mental Health Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.