Alicia Ann Sedillo, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

T-0137581 Issued in NM

Practice address

6611 Gulton CT NE
Albuquerque, NM 87109

Phone

(505) 296-3965

NPI assigned

Feb 8, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children'S Treatment Center

  • Mental Illness Community Based Residential Treatment Facility
  • Albuquerque, NM
  • NPI 1750370847
  NPD (past)

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1871899872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 SINGAPORE CIR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871115433",
            "telephone_number": "505-218-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 GULTON CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-296-3965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Tijeras Ave NW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871023096",
            "country_code": "US",
            "telephone_number": "505-243-2223",
            "fax_number": "505-243-3576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEDILLO",
        "first_name": "ALICIA",
        "middle_name": "ANN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-08",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-0137581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Second Mile Psychological and Consulting Services
• Jessica L Secor, M.D.
• Lauri Sedalnick
• Jorge Sedas, MD
• Carly Renee Sedgwick, M.S., ED.S., LPCC
• Amanda Maria Sedillo, LMSW
• Anna Sedillo, RN
• Brandi Sedillo
• Cassandra Sedillo, PTA
• Christopher Anthoney Sedillo

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.