Individual provider Active NPI

Tia Nicole Reid, LPCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1932728482
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CTB-2025-0405 Issued in NM
Practice address
3321 Candelaria Rd NE Ste 106
Albuquerque, NM 87107-1968
Phone
(505) 225-1059
NPI assigned
Apr 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CTB-2025-0405 NM Primary

Addresses

Primary practice location

3321 Candelaria Rd NE Ste 106
Albuquerque, NM 87107-1968

Mailing address

PO Box 35458
Albuquerque, NM 87176-5458
Phone (505) 225-1059

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
I20250620000048 NM Practitioner - Mental Health Counselor 5395257984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Fox Wellness LLCGroup PAC ID 8022539188, 7 clinicians

Practice addresses (Care Compare)

4600 Montgomery Blvd NE
Suite B203
Albuquerque, NM 87109-1202
Phone (505) 421-0814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CTB-2025-0405NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Fox Wellness LLC CurrentSince May 15, 2025 Accepting new patients
Piece by Piece Counseling LLC Professional Current Accepting new patients
Metro Treatment of New Mexico LP PastSince Apr 1, 2020 Accepting new patients
Metro Treatment of New Mexico LP PastSince Apr 1, 2020 Accepting new patients

Locations

4600 Montgomery Blvd NE
Ste B203
Albuquerque, NM 87109
Phone (505) 421-0814

3321 Candelaria Rd NE
Ste 106
Albuquerque, NM 87107
Phone (505) 225-1059

Organizations & group practices 4

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": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1932728482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35458",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871765458",
            "telephone_number": "505-225-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 CANDELARIA RD NE STE 106",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071968",
            "telephone_number": "505-225-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "TIA",
        "middle_name": "NICOLE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2025-0405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.