Individual provider Active NPI

Elizabeth Kathleen Daniels, LPCC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1922407519
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0168581 Issued in NM
Practice address
3846 Rio Grande Blvd NW Ste a
Albuquerque, NM 87107-3052
Phone
(505) 903-4413
Fax
(505) 856-6320
NPI assigned
Aug 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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 0168581 NM Primary

Addresses

Primary practice location

3846 Rio Grande Blvd NW Ste a
Albuquerque, NM 87107-3052

Mailing address

4512 Topaz Ave NW
Albuquerque, NM 87114-5064
Phone (505) 903-4413

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
I20240226001718 NM Practitioner - Mental Health Counselor 4385089762 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0168581NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Engage and Ignite Counseling CurrentSince Jan 1, 2024 Accepting new patients

Locations

3846 Rio Grande Blvd NW
Ste A
Albuquerque, NM 87107
Phone (505) 903-4413

6303 4th St NW
Ste 1
Los Ranchos, NM 87107
Phone (505) 321-0906

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1922407519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 TOPAZ AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145064",
            "telephone_number": "505-903-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3846 RIO GRANDE BLVD NW STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073052",
            "telephone_number": "505-903-4413",
            "fax_number": "505-856-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "ELIZABETH",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0168581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.