Individual provider Active NPI

Cynthia Wenzl, LMHC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1972265734
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
T-CTL0220551 Issued in NM
Practice address
4709 Mesa Escondida CT NW
Albuquerque, NM 87120-4630
Phone
(505) 712-7367
NPI assigned
Oct 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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 T-CTL0220551 NM Primary

Addresses

Primary practice location

4709 Mesa Escondida CT NW
Albuquerque, NM 87120-4630

Mailing address

4709 Mesa Escondida CT NW
Albuquerque, NM 87120-4630
Phone (505) 712-7367

Other identifiers 1

IdentifierTypeStateIssuer
T-CTL0220551OtherNMLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4709 Mesa Escondida CT NW
Albuquerque, NM 87120-4630

6330 Riverside Plaza LN NW
Suite 160
Albuquerque, NM 87120-2682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-CTL0220551NMMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1972265734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 MESA ESCONDIDA CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204630",
            "telephone_number": "505-712-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 MESA ESCONDIDA CT NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204630",
            "telephone_number": "505-712-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENZL",
        "first_name": "CYNTHIA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-CTL0220551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "T-CTL0220551",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.