Individual provider Active NPI

Adam Jacob Brue, LSAA

  • Addiction (Substance Use Disorder) Counselor
  • Rio Rancho, NM
National Provider Identifier
1952297772
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CTB-2025-0401 Issued in NM
Practice address
3301 Southern Blvd SE Ste 105
Rio Rancho, NM 87124-5859
Phone
(505) 270-0840
NPI assigned
Jun 17, 2025
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CTB-2025-0401 NM Primary

Addresses

Primary practice location

3301 Southern Blvd SE Ste 105
Rio Rancho, NM 87124-5859

Mailing address

2672 Camino Plata Loop NE
Rio Rancho, NM 87144-5826
Phone (505) 364-6908

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

LicenseStateTypeSpecialty
CTB-2025-0401NMMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1952297772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2672 CAMINO PLATA LOOP NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871445826",
            "telephone_number": "505-364-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 SOUTHERN BLVD SE STE 105",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245859",
            "telephone_number": "505-270-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUE",
        "first_name": "ADAM",
        "middle_name": "JACOB",
        "credential": "LSAA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CTB-2025-0401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.