Individual provider Active NPI

Lora Loray Smalley, LMFT

  • Marriage & Family Therapist
  • Albuquerque, NM
National Provider Identifier
1780772418
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
CMF0127961 Issued in NM
Practice address
10131 Coors Blvd NW Ste H8
Albuquerque, NM 87114-4048
Phone
(505) 900-5084
NPI assigned
Oct 10, 2006
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X CMF0127961 NM Primary

Addresses

Primary practice location

10131 Coors Blvd NW Ste H8
Albuquerque, NM 87114-4048

Mailing address

10813 Buckboard St NW
Albuquerque, NM 87114-5464
Phone (505) 818-9762

Other practice location 1

10813 Buckboard St NW
Albuquerque, NM 87114-5464
Phone (505) 900-5084

Other names 1

  • Lora Jean Nitcznski Former name

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
I20240130000442 NM Practitioner - Marriage and Family Therapist 8921451782 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cerebral Solutions Counseling LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

10131 Coors Blvd NW
Ste H8
Albuquerque, NM 87114
Phone (505) 204-9044

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1780772418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10813 BUCKBOARD ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145464",
            "telephone_number": "505-818-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10131 COORS BLVD NW STE H8",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144048",
            "telephone_number": "505-900-5084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10813 Buckboard St NW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871145464",
            "country_code": "US",
            "telephone_number": "505-900-5084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALLEY",
        "first_name": "LORA",
        "middle_name": "LORAY",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CMF0127961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORA",
            "last_name": "NITCZNSKI",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.