Christina Forde, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0095291 Issued in NM

Practice address

1420 Carlisle Blvd NE
Albuquerque, NM 87110-5660

Phone

(505) 401-1802

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Open Hearts, Open Minds Counseling Center, LLC

  • Professional Counselor
  • Albuquerque, NM
  • NPI 1598258576
  NPD Authorized official
• Children'S Treatment Center

  • Mental Illness Community Based Residential Treatment Facility
  • Albuquerque, NM
  • NPI 1750370847
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569110400000",
    "number": "1942334776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53002",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871533002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 CARLISLE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105660",
            "telephone_number": "505-401-1802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6611 Gulton Ct NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871094407",
            "country_code": "US",
            "telephone_number": "505-296-3965 x110",
            "fax_number": "505-323-9430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORDE",
        "first_name": "CHRISTINA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2019-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0095291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58821350",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stuart Ford, MD
• Taylor Ann Ford, MD
• Tsai-Marie Ford, PA-C
• Veronica Ford
• Zachary Thomas Ford
• Colin A Forde, DDS
• Kaitlynn Amanda Forde
• Brett Foreman, LMSW
• Jordan Robert Foreman, M.D.
• Merrilee Foreman, D.C.

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2019; 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.