Kathleen Luellen Chabot, LPCC
Individual provider Active NPI Professional Counselor · Los Ranchos, NM
NPI 1912201161 · NPPES record last updated Feb 26, 2014
Key facts
- NPI
- 1912201161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0141941 (NM)
- Practice address
- 6666 4TH St NW
Suite D
Los Ranchos, NM 87107-6144 - Phone
- (505) 934-0934
- NPI assigned
- Jan 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0141941 | NM | MD | Professional Counselor |
| C1498 | OR | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C1498 | OR | |
| Professional Counselor | 101YP2500X | 0141941 | NM | Yes |
Addresses
Primary practice location
6666 4TH St NW
Suite D
Los Ranchos, NM 87107-6144
Mailing address
4608 Almeria Dr NW
Albuquerque, NM 87120-1840
Phone (505) 934-0934
Other providers in Los Ranchos, NM
- Fiona Breslin
- Charles Rand Briggs
- Andrea Busich
- Carsal LLC
- Catalpa Counseling LLC
- Felicia Chaves
- Annette Chavez
- Cecilia C Chavez
- Tatenda Chibanga
- Christian Counseling and Psychotherapy, LLC
All providers in Los Ranchos, NM · Professional Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.