Active NPI
Barbara L Church, LPCC
- Mental Health Counselor
- Albuquerque, NM
National Provider Identifier
1942433636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CCMH0096261
- Practice address
- 5601 Domingo Rd NE
Albuquerque, NM 87108-1610 - Phone
- (505) 268-5295
- Fax
- (505) 268-9967
- NPI assigned
- Aug 27, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0096261 | NM | |
| Mental Health Counselor | 101YM0800X | CCMH0096261 | Primary |
Addresses
Primary practice location
5601 Domingo Rd NE
Albuquerque, NM 87108-1610
Mailing address
5601 Domingo Rd NE
Albuquerque, NM 87108-1610
Phone (505) 268-5295
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B9311 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0096261 | NM | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1942433636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 DOMINGO RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871081610",
"telephone_number": "505-268-5295",
"fax_number": "505-268-9967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 DOMINGO RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871081610",
"telephone_number": "505-268-5295",
"fax_number": "505-268-9967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURCH",
"first_name": "BARBARA",
"middle_name": "L",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-27",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0096261",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "CCMH0096261",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B9311",
"state": "NM"
}
],
"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 Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.