Active NPI
Sheena Bachelor-Evridge, LMHC
- Professional Counselor
- Albuquerque, NM
National Provider Identifier
1780740100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robben R. Gingery, MD, LLC | Current | Accepting new patients | |
| Raven Counseling and Wellness LLC | Mental Health | Current | 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.
-
- Mental Health Counselor
- Albuquerque, NM
- NPI 1780911347
-
- Geriatric Psychiatry Physician
- Rio Rancho, NM
- NPI 1033527015
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sierra Vista, AZ
- NPI 1043098650
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.