Individual provider Active NPI

Deanna Joan Smith, LMFT

  • Marriage & Family Therapist
  • Albuquerque, NM
National Provider Identifier
1871564773
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4246 Issued in NM
Practice address
5808 McLeod Rd NE
Albuquerque, NM 87109-2455
Phone
(505) 549-2385
NPI assigned
Jan 30, 2006
Last updated
May 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4246 NM Primary

Addresses

Primary practice location

5808 McLeod Rd NE
Albuquerque, NM 87109-2455

Mailing address

2300 Via Granada PL NW
Albuquerque, NM 87104-3097
Phone (505) 549-2385

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
I20241215000060 NM Practitioner - Marriage and Family Therapist 4981130895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5808 McLeod Rd NE
Suite P
Albuquerque, NM 87109-2468
Phone (505) 549-2385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4246NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeway Behavioral Health LLC Marriage & Family Therapist CurrentSince Nov 10, 2024 Accepting new patients

Locations

5808 McLeod Rd NE
Ste P
Albuquerque, NM 87109
Phone (505) 228-1670

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1871564773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 VIA GRANADA PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871043097",
            "telephone_number": "505-549-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 MCLEOD RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092455",
            "telephone_number": "505-549-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEANNA",
        "middle_name": "JOAN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "4246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.