Jennifer A Drake-Feinberg
Individual provider Active NPI Mental Health Counselor · Albuquerque, NM
NPI 1821592403 · NPPES record last updated Dec 11, 2024
Key facts
- NPI
- 1821592403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- CTB20240715 (NM)
- Practice address
- 4300 San Mateo Blvd NE Ste B186
Albuquerque, NM 87110-8409 - Phone
- (505) 226-2839
- Fax
- (505) 295-2559
- NPI assigned
- Mar 20, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CTB20240715 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cottonwood Counseling, LLC | Past |
Accepting new patients | |
| The Community Lighthouse | Past | Accepting new patients | |
| The Community Lighthouse | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CTB20240715 | NM | Yes |
Addresses
Primary practice location
4300 San Mateo Blvd NE Ste B186
Albuquerque, NM 87110-8409
Mailing address
23 Canada Vista Dr
Sandia Park, NM 87047-9658
Phone (575) 779-2126
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18127835 | Medicaid | NM |
Other providers in Albuquerque, NM
- Nasielys Drago
- Cathann Dragone-Gutierrez
- Dragonfly Counseling Associates Inc.
- Autumn Drags Wolf
- Shalon Drags Wolf
- Shana Drake-Lavelle
- Cathy L Drake
- Jon Drake
- Maria Drake
- Sara Drake
All providers in Albuquerque, NM · Mental Health Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.