Individual provider Active NPI

Kevin Patterson, LPCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1821148321
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0099471 Issued in NM
Practice address
2403 San Mateo Blvd NE
Suite S-14
Albuquerque, NM 87110-4058
Phone
(505) 830-6500
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0099471 NM Primary

Addresses

Primary practice location

2403 San Mateo Blvd NE
Suite S-14
Albuquerque, NM 87110-4058

Mailing address

11605 Rosemont Ave NE
Albuquerque, NM 87112-5644
Phone (505) 275-1032

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241205000079 NM Practitioner - Mental Health Counselor 8325574049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10701 Lomas Blvd NE
Suite 209
Albuquerque, NM 87112-5400
Phone (505) 379-3845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0099471NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Insights Counseling, LLC Professional CurrentSince Nov 15, 2024 Accepting new patients

Locations

10701 Lomas Blvd NE
Ste 209
Albuquerque, NM 87112
Phone (505) 379-3845

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.

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": "1303948800000",
    "number": "1821148321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 ROSEMONT AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125644",
            "telephone_number": "505-275-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 SAN MATEO BLVD NE",
            "address_2": "SUITE S-14",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104058",
            "telephone_number": "505-830-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "KEVIN",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0099471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.