Organization Active NPI

Calico Therapy and Supervision, LLC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1912832205
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, LPCNPI 1669018024
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 Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.