Kristin Renee Tubb, BA, MA, LADAC, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CTB-2024-0525 Issued in NM

Practice address

5916 Anaheim Ave NE Ste a
Albuquerque, NM 87113-1894

Phone

(505) 291-6314

Fax

(505) 275-0296

NPI assigned

Feb 2, 2018

Last updated

Oct 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Age to Age Counseling, PCGroup PAC ID 6305933151, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Arts, Master of Arts

State licenses

Practice roles

Locations

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.

• Age to Age Counseling PC

  dba Age to Age Counseling

  • Counselor
  • Albuquerque, NM
  • NPI 1336178060

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Epidaurus

  dba Amity Foundation

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1699869172
  NPD (past)

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1881193050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11204 SAN JACINTO AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125523",
            "telephone_number": "505-514-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5916 ANAHEIM AVE NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131894",
            "telephone_number": "505-291-6314",
            "fax_number": "505-275-0296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11204 San Jacinto Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871125523",
            "country_code": "US",
            "telephone_number": "505-514-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUBB",
        "first_name": "KRISTIN",
        "middle_name": "RENEE",
        "credential": "BA, MA, LADAC, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CMH0224881",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2024-0525",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CAD0203661",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15858898",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Rae Tsosie
• TSPC-NM, LLC (Aveanna Healthcare)
• Avery Lyn Tsuha
• Connie Tsui
• Hideyo Tsumura, CRNA
• Felicia Tuchman, MS
• Leslie Tuchmann, CNS
• Alexander Tucker
• Allen Jacob Tucker
• Carey M Tucker, PA

• Professional Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.