Individual provider Active NPI

Angelica Pena Fernandez, LPCC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1962872606
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
165571 Issued in NM
Practice address
5301 Thomas Dr NE
Albuquerque, NM 87111-1953
Phone
(505) 226-0602
NPI assigned
Oct 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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 165571 NM Primary

Addresses

Primary practice location

5301 Thomas Dr NE
Albuquerque, NM 87111-1953

Mailing address

5301 Thomas Dr NE
Albuquerque, NM 87111-1953
Phone (505) 226-0602

Other identifiers 1

IdentifierTypeStateIssuer
03873072MedicaidNM

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
I20241227002201 NM Practitioner - Mental Health Counselor 1759750763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5301 Thomas Dr NE
Albuquerque, NM 87111-1953
Phone (505) 267-8934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
165571NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Flow de Vida CurrentSince Jun 1, 2025 Accepting new patients
Faith Works Counseling LLC CurrentSince Nov 20, 2024 Accepting new patients

Locations

8100 Wyoming Blvd NE
Ste M4
Albuquerque, NM 87113
Phone (505) 301-1105

7441 Bartlett St NE
Ste 1C
Albuquerque, NM 87109
Phone (505) 585-1263

221 N Auburn Ave
Farmington, NM 87401
Phone (505) 600-6631

Organizations & group practices 2

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": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1962872606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 THOMAS DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111953",
            "telephone_number": "505-226-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 THOMAS DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111953",
            "telephone_number": "505-226-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA FERNANDEZ",
        "first_name": "ANGELICA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "165571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03873072",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.