Coaches Korner & the Empowerment Center of New Mexico LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COACHES KORNER & THE EMPOWERMENT CENTER OF NEW MEXICO LLC

Practice address

2040 Moon St NE
Albuquerque, NM 87112-2709

Phone

(505) 203-6164

NPI assigned

Jun 8, 2007

Last updated

May 11, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory Aydren McNeilNPI 1972796647

Title

Owner

Phone

(505) 203-6164

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Gregory Aydren McNeil, LPCC

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1972796647
  NPD Authorized official

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1841493491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 ZUNI RD SE STE 20-277",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082942",
            "telephone_number": "505-203-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 MOON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122709",
            "telephone_number": "505-203-6164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4539 N 22nd St # 6630",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850164639",
            "country_code": "US",
            "telephone_number": "505-203-6164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COACHES KORNER & THE EMPOWERMENT CENTER OF NEW MEXICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "MCNEIL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "AYDREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-203-6164"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0103731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Clysdale, MSN, CNP, PMHNP-BC
• Cmvsleep
• CNR Medical Billing
• Eimee Lim Co, MD
• Wesley Co
• Isabella Sienna Anisa Coalson, LMHC
• Jamie Coates
• Faith Cobb
• Karen A Cobb, LPCC
• Louise M Cobb, CNM

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.