Active NPI
Michelle Zaintz
- Mental Health Counselor
- Corrales, NM
National Provider Identifier
1861051930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- TCTL0218271
- Practice address
- 2469 Corrales Rd Ste E
Corrales, NM 87048-9148 - Phone
- (505) 830-1871
- NPI assigned
- Jun 11, 2019
- Reactivated
- Aug 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | TCTL0218271 | NM | Primary |
Addresses
Primary practice location
2469 Corrales Rd Ste E
Corrales, NM 87048-9148
Mailing address
2612 Texas St NE
Albuquerque, NM 87110-4684
Phone (505) 974-1849
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TCTL0218271 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1861051930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2612 TEXAS ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871104684",
"telephone_number": "505-974-1849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2469 CORRALES RD STE E",
"city": "CORRALES",
"state": "NM",
"postal_code": "870489148",
"telephone_number": "505-830-1871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAINTZ",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-11",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"deactivation_date": "2020-03-17",
"reactivation_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "TCTL0218271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corrales, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.