Individual provider Active NPI

Kelli Hayden

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1902358674
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
X09859 Issued in NM
Practice address
7601 Jefferson St NE Ste 360
Albuquerque, NM 87109-4496
Phone
(575) 769-2345
NPI assigned
Oct 28, 2016
Last updated
Sep 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X X09859 NM Primary

Addresses

Primary practice location

7601 Jefferson St NE Ste 360
Albuquerque, NM 87109-4496

Mailing address

7601 Jefferson St NE Ste 360
Albuquerque, NM 87109-4496
Phone (575) 769-2345

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
I20260528004411 NM Practitioner - Clinical Social Worker 8820568017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling AlbuquerqueGroup PAC ID 9830668045, 4 clinicians

Practice addresses (Care Compare)

7601 Jefferson St NE
Suite 360
Albuquerque, NM 87109-4496
Phone (505) 278-9553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X09859NMMDMental Health Counselor

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": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1902358674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 JEFFERSON ST NE STE 360",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094496",
            "telephone_number": "575-769-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 JEFFERSON ST NE STE 360",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094496",
            "telephone_number": "575-769-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "KELLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "X09859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.