Individual provider Active NPI

Noora Assad Jonaidi, NCC, LMHC

  • Mental Health Counselor
  • Rio Rancho, NM
National Provider Identifier
1780313122
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CTB-2022-0195 Issued in NM
Practice address
2218 Southern Blvd SE Ste 14
Rio Rancho, NM 87124-3750
Phone
(505) 994-0161
NPI assigned
Jun 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X CTB-2022-0195 NM Primary

Addresses

Primary practice location

2218 Southern Blvd SE Ste 14
Rio Rancho, NM 87124-3750

Mailing address

4201 Meadowlark LN SE Apt 48
Rio Rancho, NM 87124-1090
Phone (703) 956-0443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CTB-2022-0195NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Workshop LLC Mental Health Past 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": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1780313122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 MEADOWLARK LN SE APT 48",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241090",
            "telephone_number": "703-956-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 SOUTHERN BLVD SE STE 14",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871243750",
            "telephone_number": "505-994-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONAIDI",
        "first_name": "NOORA",
        "middle_name": "ASSAD",
        "name_prefix": "Mrs.",
        "credential": "NCC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2022-0195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.