Individual provider Active NPI

Sheena Bachelor-Evridge, LMHC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1780740100
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
7027 Montgomery Blvd NE
Ste F
Albuquerque, NM 87109-1589
Phone
(505) 880-0100
Fax
(505) 880-0102
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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 Primary

Addresses

Primary practice location

7027 Montgomery Blvd NE
Ste F
Albuquerque, NM 87109-1589

Mailing address

4100 Barbara Loop SE
Rio Rancho, NM 87124-1000
Phone (505) 239-7128

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
I20240102001845 NM Practitioner - Mental Health Counselor 7416188677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raven Counseling and Wellness LLCGroup PAC ID 3072818616, 2 clinicians

Practice addresses (Care Compare)

8625 Golf Course Rd NW
Suite B2
Albuquerque, NM 87114-5114
Phone (505) 508-0808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robben R. Gingery, MD, LLC CurrentSince Jan 1, 2024 Accepting new patients
Raven Counseling and Wellness LLC Mental Health CurrentSince Apr 11, 2024 Accepting new patients
Mesa Verde Counseling Inc Past Accepting new patients

Locations

8625 Golf Course Rd NW
Ste B2
Albuquerque, NM 87114
Phone (505) 508-0808

1549 Stephanie Rd SE
Ste B
Rio Rancho, NM 87124
Phone (505) 200-9158

Organizations & group practices 3

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1780740100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 BARBARA LOOP SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241000",
            "telephone_number": "505-239-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7027 MONTGOMERY BLVD NE",
            "address_2": "STE F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091589",
            "telephone_number": "505-880-0100",
            "fax_number": "505-880-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHELOR-EVRIDGE",
        "first_name": "SHEENA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.