Organization Active NPI

Arbor Counseling LLC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1821305244
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0125261 Issued in NM
Legal business name
ARBOR COUNSELING LLC
Practice address
2501 San Pedro Dr NE
Suite 214
Albuquerque, NM 87110-4122
Phone
(505) 414-7721
Fax
(678) 426-6620
NPI assigned
Sep 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
Roxanne D Pratt, LPCC
Title
Clinical Director
Phone
(505) 301-1899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 0125261 NM Primary

Addresses

Primary practice location

2501 San Pedro Dr NE
Suite 214
Albuquerque, NM 87110-4122

Mailing address

2501 San Pedro Dr NE
Suite 214
Albuquerque, NM 87110-4122
Phone (505) 414-7721

Other identifiers 1

IdentifierTypeStateIssuer
80427855MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
Arbor Counseling LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2501 San Pedro Dr NE
Ste 214
Albuquerque, NM 87110
Phone (505) 414-7721

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1821305244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 SAN PEDRO DR NE",
            "address_2": "SUITE 214",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104122",
            "telephone_number": "505-414-7721",
            "fax_number": "678-426-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 SAN PEDRO DR NE",
            "address_2": "SUITE 214",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104122",
            "telephone_number": "505-414-7721",
            "fax_number": "678-426-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "505-301-1899",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0125261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80427855",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.