Ann Buck, LPCC, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0075491 Issued in NM

Legal business name

ANN BUCK, LPCC, LLC

Practice address

2403 San Mateo Blvd NE
Suite W-10
Albuquerque, NM 87110-4058

Phone

(505) 506-5831

Fax

(505) 883-3076

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Ann Buck, LPCC

Title

Sole Proprietor

Phone

(505) 506-5831

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1811167141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 SAN MATEO BLVD NE",
            "address_2": "SUITE W-10",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104058",
            "telephone_number": "505-506-5831",
            "fax_number": "505-883-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 SAN MATEO BLVD NE",
            "address_2": "SUITE W-10",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104058",
            "telephone_number": "505-506-5831",
            "fax_number": "505-883-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN BUCK, LPCC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "505-506-5831",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0075491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00676080",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Albuquerque, NM by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.