Pinon Grove Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PINON GROVE COUNSELING

Practice address

2504 Garfield Ave SE Ste 1
Albuquerque, NM 87106-3696

Phone

(505) 431-1500

NPI assigned

Sep 17, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Garrett Demko, LCSWNPI 1063285781

Title

Owner

Phone

(717) 606-9651

Specialties & licenses 1

Addresses

Other names 1

• Pinon Grove Other name

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Garrett Adams Demko, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1063285781
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1861229569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 GARFIELD AVE SE STE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871063696",
            "telephone_number": "505-431-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 GARFIELD AVE SE STE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871063696",
            "telephone_number": "505-431-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 Stanford Dr SE Apt A4",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871063760",
            "country_code": "US",
            "telephone_number": "717-606-9651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PINON GROVE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "DEMKO",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-606-9651",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinon Grove",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Pinon Grove",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Klassie C Pino
• Krista Pino
• Melissa Rose Pino, CNP
• Onnica Pino
• Stephanie Pino
• Pinon Perinatal
• Pinon Perinatal Inc
• Ivan G Pinon, MD
• Laura Pinon
• Maya Mei Pinon

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.