The Family Connection LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE FAMILY CONNECTION LLC

Practice address

6001 Whiteman Dr NW
Albuquerque, NM 87120-2196

Phone

(505) 717-1155

Fax

(505) 717-1473

NPI assigned

Sep 11, 2007

Last updated

Dec 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda S DavisonNPI 1669560637

Title

Ceo

Phone

(505) 717-1155

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 67

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda S Davison, LMFT

  • Marriage & Family Therapist
  • Albuquerque, NM
  • NPI 1669560637
  Medicare reassignment NPD Authorized official
• Kennedy Hull

  • Behavior Technician
  • Santa Fe, NM
  • NPI 1518441476
  Medicare reassignment Care Compare group NPD
• Elizabeth Lopez

  • Counselor
  • Rio Rancho, NM
  • NPI 1861083214
  Medicare reassignment Care Compare group NPD
• Amber Fay Merritt, LMSW

  • Clinical Social Worker
  • Rio Rancho, NM
  • NPI 1891271615
  Medicare reassignment Care Compare group NPD
• Paula L Raley, LCSW

  • Clinical Social Worker
  • Los Lunas, NM
  • NPI 1437464138
  Medicare reassignment Care Compare group NPD
• Sandra Leigh Rivera, LMFT

  • Marriage & Family Therapist
  • Rio Rancho, NM
  • NPI 1174760854
  Medicare reassignment Care Compare group NPD
• Renee Singletary, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1871131300
  Medicare reassignment Care Compare group NPD
• Angelica Villicana, LISW

  • Clinical Social Worker
  • Las Cruces, NM
  • NPI 1861628323
  Medicare reassignment Care Compare group NPD
• Jennifer Bogart

  • Professional Counselor
  • Albuquerque, NM
  • NPI 1508404047
  Medicare reassignment NPD
• Angelica Chavez

  • Clinical Social Worker
  • Los Lunas, NM
  • NPI 1427723147
  Medicare reassignment NPD
• Debra Dederich-Elsner, LPCC

  • Professional Counselor
  • Los Lunas, NM
  • NPI 1053781146
  Medicare reassignment NPD
• Danielle Dimas

  • Professional Counselor
  • Rio Rancho, NM
  • NPI 1891112801
  Medicare reassignment NPD

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1790970879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 CABEZON BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "87124",
            "telephone_number": "505-717-1155",
            "fax_number": "505-717-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 WHITEMAN DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202196",
            "telephone_number": "505-717-1155",
            "fax_number": "505-717-1473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2112 Main St NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Los Lunas",
            "state": "NM",
            "postal_code": "870317097",
            "country_code": "US",
            "telephone_number": "505-717-1155 x111",
            "fax_number": "505-717-1473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2441 Cabezon Blvd SE",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871241576",
            "country_code": "US",
            "telephone_number": "505-717-1155",
            "fax_number": "505-717-1473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE FAMILY CONNECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-717-1155"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "PT0088431",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50239279",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.