Active NPI
Wellbeing Counseling Center, LLC
- Professional Counselor
- Albuquerque, NM
National Provider Identifier
1821477852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C-07338
- 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, 2015
- 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
- Ms. Marie A. L. Braman, LCSW
- Title
- Clinical Director
- Phone
- (505) 301-9997
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89239814 | Medicaid | NM |
Other names 1
- Namaste Circle for Spiritual Living
National Provider Directory
National Provider DirectoryLocations
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.