Active NPI
Arbor Counseling LLC
- Professional Counselor
- Albuquerque, NM
National Provider Identifier
1821305244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0125261
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80427855 | Medicaid | NM |
National Provider Directory
National Provider Directory- Tax ID family
- Arbor Counseling LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1669859500
-
- Case Management Agency
- Albuquerque, NM
- NPI 1700280161
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.