Wanda Karen Brasgala, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT-1785,LPCC-1330 Issued in NM

Practice address

4225 Rio Grande Blvd NW
Albuquerque, NM 87107-3134

Phone

(505) 265-9020

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801928197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 RIO GRANDE BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073134",
            "telephone_number": "505-265-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 RIO GRANDE BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073134",
            "telephone_number": "505-265-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASGALA",
        "first_name": "WANDA",
        "middle_name": "KAREN",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "LMFT-1785,LPCC-1330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Michele Brannan
• Joshua Brannan
• Ann Branscum, ED.S.
• Jaelyn Viola Marie Bransford, RD, LD
• Daniella Brantley
• Amy Brashear, LMFT
• Kimberly Brasher, LPCC
• Lester J Brasher Jr., PHD, LPCC
• Sarah Emily Brasier, AUD
• Dahlia Alexandria Brasuel

• Marriage & Family Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Marriage & Family Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.