NPIMap

Organization Active NPI

Elevation Counseling, LLC

  • Psychiatric/Mental Health Registered Nurse
  • Albuquerque, NM
National Provider Identifier
1831514520
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
Legal business name
ELEVATION COUNSELING, LLC
Practice address
6612 Gulton CT NE Ste a
Albuquerque, NM 87109-4407
Phone
(505) 888-1686
Fax
(505) 888-1683
NPI assigned
Mar 4, 2014
Last updated
May 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Authorized official

Name
Cameron Cova
Title
Member of Owner LLC
Phone
(505) 888-1686

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Clinical Social Worker 1041C0700X
Marriage & Family Therapist 106H00000X
Psychiatric/Mental Health Registered Nurse 163WP0808X Primary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X

Addresses

Primary practice location

6612 Gulton CT NE Ste a
Albuquerque, NM 87109-4407

Mailing address

6612 Gulton CT NE Ste a
Albuquerque, NM 87109-4407
Phone (505) 888-1686

Other identifiers 1

IdentifierTypeStateIssuer
73221538MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240208004040 NM Part B Supplier - Clinic/Group Practice 6507209236 Receives reassigned benefits from 26 practitioners
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Locations

6612 Gulton Ct NE
Ste A
Albuquerque, NM 87109
Phone (505) 289-0797

6621 Gulton Ct NE
Ste A
Albuquerque, NM 87109
Phone (505) 888-1686

Practitioners & affiliated clinicians

Practitioners 40

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 40

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1831514520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6612 GULTON CT NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094407",
            "telephone_number": "505-888-1686",
            "fax_number": "505-888-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612 GULTON CT NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094407",
            "telephone_number": "505-888-1686",
            "fax_number": "505-888-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "COVA",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "MEMBER OF OWNER LLC",
        "authorized_official_telephone_number": "505-888-1686"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73221538",
            "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 May 20, 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.