Active NPI
Calico Therapy and Supervision, LLC
- Mental Health Counselor
- Albuquerque, NM
National Provider Identifier
1912832205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CALICO THERAPY AND SUPERVISION, LLC
- Practice address
- 1209 Mountain Road PL NE Ste R
Albuquerque, NM 87110-7825 - Phone
- (505) 917-4083
- NPI assigned
- Jun 16, 2026
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Reynette I Beynon, LPCC, LPC
- Title
- Founder/Mental Health Therapist
- Phone
- (505) 917-4083
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1209 Mountain Road PL NE Ste R
Albuquerque, NM 87110-7825
Mailing address
1209 Mountain Road PL NE Ste R
Albuquerque, NM 87110-7825
Phone (505) 554-0373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 16, 2026.
{
"created_epoch": "1781568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781568000000",
"number": "1912832205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 MOUNTAIN ROAD PL NE STE R",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871107825",
"telephone_number": "505-554-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 MOUNTAIN ROAD PL NE STE R",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871107825",
"telephone_number": "505-917-4083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALICO THERAPY AND SUPERVISION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-16",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A",
"authorized_official_last_name": "BEYNON",
"authorized_official_first_name": "REYNETTE",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "FOUNDER/MENTAL HEALTH THERAPIST",
"authorized_official_telephone_number": "505-917-4083",
"authorized_official_credential": "LPCC, LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"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 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.