Individual provider Active NPI

Loyce L Starke, LPCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1790094852
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0105581 Issued in NM
Practice address
1330 San Pedro Dr NE
Suite 201-B
Albuquerque, NM 87110-6744
Phone
(505) 260-9912
Fax
(505) 260-9934
NPI assigned
Oct 6, 2010
Last updated
Oct 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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 0105581 NM Primary

Addresses

Primary practice location

1330 San Pedro Dr NE
Suite 201-B
Albuquerque, NM 87110-6744

Mailing address

1330 San Pedro Dr NE
Suite 201-B
Albuquerque, NM 87110-6744
Phone (505) 260-9912

Other identifiers 1

IdentifierTypeStateIssuer
Z8478MedicaidNM

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
I20241213000047 NM Practitioner - Mental Health Counselor 5294261210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0105581NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Loyce Starke LPCC LLC Professional CurrentSince Dec 1, 2024 Accepting new patients
A New Day Inc. Past Accepting new patients

Locations

230 Adams St SE
Ste C
Albuquerque, NM 87108
Phone (505) 489-9680

Organizations & group practices 2

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": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1790094852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SAN PEDRO DR NE",
            "address_2": "SUITE 201-B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106744",
            "telephone_number": "505-260-9912",
            "fax_number": "505-260-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SAN PEDRO DR NE",
            "address_2": "SUITE 201-B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106744",
            "telephone_number": "505-260-9912",
            "fax_number": "505-260-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKE",
        "first_name": "LOYCE",
        "middle_name": "L",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0105581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z8478",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.