Individual provider Active NPI

Jennifer A Drake-Feinberg

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1821592403
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CTB20240715 Issued in 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
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CTB20240715 NM Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CTB20240715NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Community Lighthouse Past Accepting new patients
Cottonwood Counseling, LLC PastSince Dec 15, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1821592403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CANADA VISTA DR",
            "city": "SANDIA PARK",
            "state": "NM",
            "postal_code": "870479658",
            "telephone_number": "575-779-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 SAN MATEO BLVD NE STE B186",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871108409",
            "telephone_number": "505-226-2839",
            "fax_number": "505-295-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE-FEINBERG",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB20240715",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 11, 2024; 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.