Individual provider Active NPI

Lydia Sayre Lennihan, LPCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1821164518
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
93501 Issued in NM
Practice address
2201 Buena Vista Dr SE Ste 313
Albuquerque, NM 87106-4291
Phone
(505) 681-0708
Fax
(505) 256-5171
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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 93501 NM Primary

Addresses

Primary practice location

2201 Buena Vista Dr SE Ste 313
Albuquerque, NM 87106-4291

Mailing address

424 Bryn Mawr Dr SE
Albuquerque, NM 87106-2206
Phone (505) 242-3050

Other practice location 1

1400 Carlisle Blvd NE
Suite A
Albuquerque, NM 87110-5658
Phone (505) 242-3050

Other identifiers 1

IdentifierTypeStateIssuer
65873874MedicaidNM

Other names 1

  • Lydia Sayre Lennihan Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://lydia-lennihan.clientsecure.me Direct

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
I20240512000060 NM Practitioner - Mental Health Counselor 2062853039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

424 Bryn Mawr Dr SE
Telehealth Office
Albuquerque, NM 87106-2206
Phone (505) 681-0708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
93501NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathfinder Visions, Inc. Professional CurrentSince Feb 24, 2024 Accepting new patients

Locations

107 Bryn Mawr Dr SE
Albuquerque, NM 87106
Phone (505) 681-0708

1400 Carlisle Blvd NE
Ste A
Albuquerque, NM 87110
Phone (505) 242-3050

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1821164518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 BRYN MAWR DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062206",
            "telephone_number": "505-242-3050",
            "fax_number": "505-256-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 BUENA VISTA DR SE STE 313",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064291",
            "telephone_number": "505-681-0708",
            "fax_number": "505-256-5171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Carlisle Blvd NE",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871105658",
            "country_code": "US",
            "telephone_number": "505-242-3050",
            "fax_number": "505-256-5171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENNIHAN",
        "first_name": "LYDIA",
        "middle_name": "SAYRE",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "93501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65873874",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://lydia-lennihan.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "webpage",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2201 Buena Vista Dr SE Ste 313",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871064291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "LENNIHAN",
            "middle_name": "SAYRE",
            "credential": "LPCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.