Organization Active NPI

Wellbeing Counseling Center, LLC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1821477852
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C-07338 Issued in NM
Legal business name
WELLBEING COUNSELING CENTER, LLC
Practice address
3636 Menaul Blvd. NE
Suite 102
Albuquerque, NM 87110-2842
Phone
(505) 301-9997
Fax
(505) 672-7916
NPI assigned
May 22, 2015
Last updated
Aug 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Ms. Marie A. L. Braman, LCSW
Title
Clinical Director
Phone
(505) 301-9997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X C-07338 NM Primary

Addresses

Primary practice location

3636 Menaul Blvd. NE
Suite 102
Albuquerque, NM 87110-2842

Mailing address

1021 Arizona St SE
Albuquerque, NM 87108-4827
Phone (505) 918-6692

Other identifiers 1

IdentifierTypeStateIssuer
89239814MedicaidNM

Other names 1

  • Namaste Circle for Spiritual Living Former legal business name

National Provider Directory

National Provider Directory

Locations

3636 Menaul Blvd NE
Ste 102
Albuquerque, NM 87110
Phone (505) 301-9997

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1821477852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 ARIZONA ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871084827",
            "telephone_number": "505-918-6692",
            "fax_number": "505-672-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 MENAUL BLVD. NE",
            "address_2": "SUITE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871102842",
            "telephone_number": "505-301-9997",
            "fax_number": "505-672-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBEING COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "BRAMAN",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "A. L.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "505-301-9997",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "C-07338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89239814",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Namaste Circle for Spiritual Living",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 19, 2015; 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.