Individual provider Active NPI

Ina Krieble, LPCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1770627192
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
006002 Issued in NM
Practice address
3300 Vista del Sur St NW
Albuquerque, NM 87120-1546
Phone
(505) 450-9271
Fax
(505) 873-8489
NPI assigned
Feb 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 006002 NM Primary

Addresses

Primary practice location

3300 Vista del Sur St NW
Albuquerque, NM 87120-1546

Mailing address

3300 Vista del Sur St NW
Albuquerque, NM 87120-1546
Phone (505) 450-9271

Other identifiers 2

IdentifierTypeStateIssuer
37481541MedicaidNM
89709004MedicaidNM

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
I20241018003630 NM Practitioner - Mental Health Counselor 2668814328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Albuquerque, NM 87120
Phone (505) 450-9271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006002NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Whiteowl Services, Inc. Professional CurrentSince May 6, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770627192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 VISTA DEL SUR ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201546",
            "telephone_number": "505-450-9271",
            "fax_number": "505-873-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 VISTA DEL SUR ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201546",
            "telephone_number": "505-450-9271",
            "fax_number": "505-873-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEBLE",
        "first_name": "INA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "006002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37481541",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89709004",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.