Organization Active NPI

Albuquerque Family Counseling

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1902126451
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0126931 Issued in NM
Legal business name
ALBUQUERQUE FAMILY COUNSELING
Practice address
2900 Louisiana Blvd NE
South BLDG Suite 260
Albuquerque, NM 87110-3532
Phone
(505) 974-0104
NPI assigned
Jun 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Authorized official

Name
Kelly Chicas, LPCC
Title
Owner/Clinical Director
Phone
(505) 974-0104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 0126931 NM Primary

Addresses

Primary practice location

2900 Louisiana Blvd NE
South BLDG Suite 260
Albuquerque, NM 87110-3532

Mailing address

2900 Louisiana Blvd NE
South BLDG Suite 260
Albuquerque, NM 87110-3532

National Provider Directory

National Provider Directory

Locations

2900 Louisiana Blvd NE
Ste 260
Albuquerque, NM 87110
Phone (505) 974-0104

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1902126451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LOUISIANA BLVD NE",
            "address_2": "SOUTH BLDG SUITE 260",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LOUISIANA BLVD NE",
            "address_2": "SOUTH BLDG SUITE 260",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103532",
            "telephone_number": "505-974-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBUQUERQUE FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "CHICAS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "505-974-0104",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0126931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.