NPIMap

Organization Active NPI

Grace Therapy Services, LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1821561911
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GRACE THERAPY SERVICES, LLC
Practice address
4273 Montgomery Blvd NE Ste K220
Albuquerque, NM 87109-6748
Phone
(505) 554-1283
NPI assigned
Jan 10, 2019
Last updated
Feb 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Ashley Martin-Cuellar, PH.D., LMFTNPI 1366766339
Title
Owner
Phone
(505) 554-1283

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4273 Montgomery Blvd NE Ste K220
Albuquerque, NM 87109-6748

Mailing address

4273 Montgomery Blvd NE Ste K220
Albuquerque, NM 87109-6748
Phone (505) 554-1283

Other practice location 1

4253 Montgomery Blvd NE Ste G130
Albuquerque, NM 87109-1106
Phone (505) 554-1283

Other identifiers 1

IdentifierTypeStateIssuer
34183329MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240131002713 NM Part B Supplier - Clinic/Group Practice 8820441371 Receives reassigned benefits from 7 practitioners
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1821561911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4273 MONTGOMERY BLVD NE STE K220",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096748",
            "telephone_number": "505-554-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4273 MONTGOMERY BLVD NE STE K220",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096748",
            "telephone_number": "505-554-1283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4253 Montgomery Blvd NE Ste G130",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871091106",
            "country_code": "US",
            "telephone_number": "505-554-1283",
            "fax_number": "505-226-4607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACE THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "MARTIN-CUELLAR",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-554-1283",
        "authorized_official_credential": "PH.D., LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34183329",
            "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 Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.