Individual provider Active NPI

Lauren Mary Martell, MA LMHC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1841708815
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
T-CTL0193611 Issued in NM
Practice address
707 Broadway Blvd NE Ste 103
Albuquerque, NM 87102-2300
Phone
(505) 933-4639
NPI assigned
Jan 12, 2018
Last updated
Jan 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2018

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 T-CTL0193611 NM Primary

Addresses

Primary practice location

707 Broadway Blvd NE Ste 103
Albuquerque, NM 87102-2300

Mailing address

8809 Henriette Wyeth Dr NE
Albuquerque, NM 87122-2778
Phone (505) 977-3446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 21, 2024 through May 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
T-CTL0193611NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wholeheart Counseling Mental Health Current Accepting new patients

Organizations & group practices 1

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": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515715200000",
    "number": "1841708815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8809 HENRIETTE WYETH DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222778",
            "telephone_number": "505-977-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 BROADWAY BLVD NE STE 103",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022300",
            "telephone_number": "505-933-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTELL",
        "first_name": "LAUREN",
        "middle_name": "MARY",
        "credential": "MA LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-CTL0193611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.