Individual provider Active NPI

Kurt Altik Wulfekuhler, PH.D.

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1851470132
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
30 Issued in NM
Practice address
1400 Central Ave SE Ste 2300
Albuquerque, NM 87106-4859
Phone
(505) 255-1555
Fax
(505) 255-1117
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 30 NM Primary
Marriage & Family Therapist 106H00000X 29 NM

Addresses

Primary practice location

1400 Central Ave SE Ste 2300
Albuquerque, NM 87106-4859

Mailing address

1400 Central Ave SE Ste 2300
Albuquerque, NM 87106-4859
Phone (505) 255-1555

Other identifiers 1

IdentifierTypeStateIssuer
44606257MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260223001507 NM Practitioner - Mental Health Counselor 1759862303 Practice locations: Albuquerque, NM

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13 Seclusion CT
Sandia Park, NM 87047-9532

2741 Indian School Rd NE
Albuquerque, NM 87106-2653
Phone (505) 554-5015

601 Solano Dr NE
Albuquerque, NM 87110-7793

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
29NMMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1851470132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CENTRAL AVE SE STE 2300",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064859",
            "telephone_number": "505-255-1555",
            "fax_number": "505-255-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CENTRAL AVE SE STE 2300",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064859",
            "telephone_number": "505-255-1555",
            "fax_number": "505-255-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WULFEKUHLER",
        "first_name": "KURT",
        "middle_name": "ALTIK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "30",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "29",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44606257",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.