NPIMap

Organization Active NPI

Mindful Counseling LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1831420876
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MINDFUL COUNSELING LLC
Practice address
4619 Greene St NW Ste C
Albuquerque, NM 87114-4899
Phone
(505) 899-9329
NPI assigned
Jan 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Authorized official

Name
Ms. Michelle Knight, LCSWNPI 1801320239
Title
Owner
Phone
(505) 899-9329

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NM Primary

Addresses

Primary practice location

4619 Greene St NW Ste C
Albuquerque, NM 87114-4899

Mailing address

4619 Greene St NW Ste C
Albuquerque, NM 87114-4899
Phone (505) 899-9329

Other practice location 1

4004 Carlisle Blvd NE
Albuquerque, NM 87107-4565
Phone (505) 899-9329

Other identifiers 1

IdentifierTypeStateIssuer
97052370MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230412002054 NM Part B Supplier - Clinic/Group Practice 7113391319 Receives reassigned benefits from 4 practitioners
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

4619 Greene St NW
Ste C
Albuquerque, NM 87114
Phone (505) 226-2232

4004 Carlisle Blvd NE
Ste M
Albuquerque, NM 87107

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1831420876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 GREENE ST NW STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144899",
            "telephone_number": "505-899-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 GREENE ST NW STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144899",
            "telephone_number": "505-899-9329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4004 Carlisle Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871074565",
            "country_code": "US",
            "telephone_number": "505-899-9329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-899-9329",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97052370",
            "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 Aug 10, 2022; 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.