Christian Counseling and Psychotherapy, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0152551 Issued in NM

Legal business name

CHRISTIAN COUNSELING AND PSYCHOTHERAPY, LLC

Practice address

6501 4TH St NW
Suite H-3
Los Ranchos, NM 87107-5800

Phone

(505) 340-3868

NPI assigned

Jul 13, 2015

Organization subpart

No

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

Authorized official

Name

Gina Jimmerson, LPCC

Title

LPCC

Phone

(505) 340-3868

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1831573567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 PARADISE BLVD NW # 65246",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144106",
            "telephone_number": "505-340-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 4TH ST NW",
            "address_2": "SUITE H-3",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "871075800",
            "telephone_number": "505-340-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COUNSELING AND PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "JIMMERSON",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "LPCC",
        "authorized_official_telephone_number": "505-340-3868",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0152551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Luellen Chabot, LPCC
• Felicia Chaves, PT
• Annette Chavez
• Cecilia C Chavez, MA, LMHC
• Tatenda Chibanga, PT, DPT
• Patricia A Colahan-Ireta, LPCC
• Common Ground Community Care
• Curate Health LLC
• Dar a Luz Birth & Health Center
• Dar a Luz Birth & Health Center

• All providers in Los Ranchos, NM
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.