Organization Active NPI

Brett Nelson Counseling Services

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1801399795
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0954 Issued in NM
Legal business name
BRETT NELSON COUNSELING SERVICES
Practice address
11927 Menaul Blvd NE Ste 101
Albuquerque, NM 87112-2457
Phone
(505) 275-1155
Fax
(505) 275-1156
NPI assigned
Mar 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2018

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

Authorized official

Name
Mrs. Brett Alan Nelson, MA, CMHC, NCC, CCTPNPI 1407965163
Title
Owner/Counselor-Psychotherapist
Phone
(505) 275-1155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 0954 NM Primary

Addresses

Primary practice location

11927 Menaul Blvd NE Ste 101
Albuquerque, NM 87112-2457

Mailing address

11927 Menaul Blvd NE Ste 101
Albuquerque, NM 87112-2457
Phone (505) 275-1155

Other identifiers 1

IdentifierTypeStateIssuer
Z7299MedicaidNM

National Provider Directory

National Provider Directory

Locations

11927 Menaul Blvd NE
Ste 101
Albuquerque, NM 87112
Phone (505) 275-1155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521158400000",
    "number": "1801399795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11927 MENAUL BLVD NE STE 101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122457",
            "telephone_number": "505-275-1155",
            "fax_number": "505-275-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11927 MENAUL BLVD NE STE 101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122457",
            "telephone_number": "505-275-1155",
            "fax_number": "505-275-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT NELSON COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/COUNSELOR-PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "505-275-1155",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CMHC, NCC, CCTP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z7299",
            "state": "NM"
        }
    ],
    "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 Mar 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.