Individual provider Active NPI

Stephen Ratcliff, MA, LPCC, LPC, NCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1982933552
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0144871 Issued in NM
Practice address
120 Aliso Dr SE
Albuquerque, NM 87108-2693
Phone
(505) 504-5449
NPI assigned
Dec 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0144871 NM Primary

Addresses

Primary practice location

120 Aliso Dr SE
Albuquerque, NM 87108-2693

Mailing address

PO Box 3258
Oregon City, OR 97045-0821
Phone (505) 504-5449

Other identifiers 3

IdentifierTypeStateIssuer
C6334OtherORLICENSED PROFESSIONAL COUNSELOR (LPC
0144871OtherNMLICENSED CLINICAL MENTAL HEALTH COUNSELOR (LPCC)
15804321MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address steve@liberatedcounseling.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231228001562 NM Practitioner - Mental Health Counselor 9931559275 Reassigns benefits to 1 organization
I20240112001434 OR Practitioner - Mental Health Counselor 9931559275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 Aliso Dr SE
Albuquerque, NM 87108-2693
Phone (505) 504-5449

14905 S Brookfield Dr
Oregon City, OR 97045-8869
Phone (505) 504-5449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0144871NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Liberated Counseling LLC CurrentSince Dec 8, 2023 Accepting new patients

Locations

120 Aliso Dr SE
Albuquerque, NM 87108
Phone (505) 336-9826

Organizations & group practices 1

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": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1982933552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3258",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970450821",
            "telephone_number": "505-504-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ALISO DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082693",
            "telephone_number": "505-504-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATCLIFF",
        "first_name": "STEPHEN",
        "credential": "MA, LPCC, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-10",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0144871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR (LPC",
            "identifier": "C6334",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL MENTAL HEALTH COUNSELOR (LPCC)",
            "identifier": "0144871",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15804321",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "steve@liberatedcounseling.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "14905 S Brookfield Dr",
            "city": "Oregon City",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970458869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.