Active NPI
Michelle Knight, LCSW
- Clinical Social Worker
- Albuquerque, NM
National Provider Identifier
1801320239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-10304
- Practice address
- 4619 Greene St NW
Albuquerque, NM 87114-4895 - Phone
- (505) 899-9329
- NPI assigned
- Apr 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | M-08247 | NM | |
| Clinical Social Worker | 1041C0700X | C-10304 | NM | Primary |
Addresses
Primary practice location
4619 Greene St NW
Albuquerque, NM 87114-4895
Mailing address
5732 Piedra Rd NW
Albuquerque, NM 87114-4735
Phone (505) 944-6004
Other practice location 1
4118 Central Ave SE Ste C
Albuquerque, NM 87108-1177
Phone (505) 554-3057
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
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4619 Greene St NW
Suite C
Albuquerque, NM 87114-4899
Phone (505) 899-9329
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-08247 | NM | MD | Addiction (Substance Use Disorder) Counselor |
| C-10304 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Counseling LLC | Current | Accepting new patients |
Locations
4619 Greene St NW
Ste C
Albuquerque, NM 87114
Phone (505) 226-2232
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1831420876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1801320239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5732 PIEDRA RD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871144735",
"telephone_number": "505-944-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4619 GREENE ST NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871144895",
"telephone_number": "505-899-9329"
}
],
"practiceLocations": [
{
"address_1": "4118 Central Ave SE Ste C",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871081177",
"country_code": "US",
"telephone_number": "505-554-3057",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNIGHT",
"first_name": "MICHELLE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-12",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "M-08247",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-10304",
"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 Nov 11, 2020; 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.