Active NPI
Victoria Kaylene Halbert, LPCC
- Professional Counselor
- Grants, NM
National Provider Identifier
1821148255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0094021
- Practice address
- 210 E Santa Fe Ave
Grants, NM 87020-2404 - Phone
- (505) 876-1890
- Fax
- (505) 876-1886
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0094021 | NM | Primary |
Addresses
Primary practice location
210 E Santa Fe Ave
Grants, NM 87020-2404
Mailing address
210 E Santa Fe Ave
Grants, NM 87020-2404
Phone (505) 876-1890
Other practice location 1
2450 Alamo Ave SE
Albuquerque, NM 87106-3204
Phone (505) 925-2401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0094021 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Medical Services | Past | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- Santa Fe, NM
- NPI 1518910553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557100800000",
"number": "1821148255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E SANTA FE AVE",
"city": "GRANTS",
"state": "NM",
"postal_code": "870202404",
"telephone_number": "505-876-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E SANTA FE AVE",
"city": "GRANTS",
"state": "NM",
"postal_code": "870202404",
"telephone_number": "505-876-1890",
"fax_number": "505-876-1886"
}
],
"practiceLocations": [
{
"address_1": "2450 Alamo Ave SE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871063204",
"country_code": "US",
"telephone_number": "505-925-2401",
"fax_number": "505-925-2411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALBERT",
"first_name": "VICTORIA",
"middle_name": "KAYLENE",
"name_prefix": "Ms.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2019-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0094021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grants, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.