Individual provider Active NPI

Laura B Haman, LPCC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1821469339
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CCMH0194501 Issued in NM
Practice address
912 1St St NW
Albuquerque, NM 87102-2355
Phone
(505) 224-9777
Fax
(877) 286-1296
NPI assigned
Oct 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CCMH0194501 NM
Mental Health Counselor 101YM0800X 0176791 NM
Mental Health Counselor 101YM0800X CCMH0194501 NM Primary

Addresses

Primary practice location

912 1St St NW
Albuquerque, NM 87102-2355

Mailing address

PO Box 3838
Edgewood, NM 87015-3838
Phone (505) 604-7322

Other practice location 1

1209 Old Highway 66
Suite C
Moriarty, NM 87035
Phone (505) 604-7322

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
I20240111004259 NM Practitioner - Mental Health Counselor 4789035940 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0176791NMMDMental Health Counselor
CCMH0194501NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Duke City Recovery Toolbox LLC CurrentSince Jan 1, 2024 Accepting new patients
Duke City Recovery Toolbox LLC Current Accepting new patients

Locations

912 1st St NW
Albuquerque, NM 87102
Phone (505) 224-9777

Organizations & group practices 2

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": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1821469339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3838",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870153838",
            "telephone_number": "505-604-7322",
            "fax_number": "877-286-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 1ST ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022355",
            "telephone_number": "505-224-9777",
            "fax_number": "877-286-1296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1209 Old Highway 66",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Moriarty",
            "state": "NM",
            "postal_code": "87035",
            "country_code": "US",
            "telephone_number": "505-604-7322",
            "fax_number": "877-286-1296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMAN",
        "first_name": "LAURA",
        "middle_name": "B",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CCMH0194501",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0176791",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH0194501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.