Abena Marfowaa Owusu-Nkwantabisah

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CTP-2022-0786 Issued in NM

Practice address

2441 Cabezon Blvd SE
Rio Rancho, NM 87124-1576

Phone

(505) 717-1155

NPI assigned

Sep 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Family Connection LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1790970879
  Medicare reassignment NPD

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1790409118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 WHITEMAN DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202196",
            "telephone_number": "505-717-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 CABEZON BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241576",
            "telephone_number": "505-717-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWUSU-NKWANTABISAH",
        "first_name": "ABENA MARFOWAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "CTP-2022-0786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Banti Otero, RN
• Christopher Otero
• David Otto, LMSW
• Jean M. Overbay, RPH
• Jennifer Overman, PHARMD
• Charmaine Pacheco, BMS
• Erick Brian Pacheco, LADAC
• Marc Anthony Pacheco, D.D.S.
• Marissa Carmen Pacheco
• Melanie M. Pacheco, PHARMD

• Counselor in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.

Verify at the official NPI Registry.