SOUTHWEST PUEBLO CONSULTANTS AND COUNSELING SERVICES, LLC (NPI# 1356733158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356733158 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST PUEBLO CONSULTANTS AND COUNSELING SERVICES, LLC |
| Practice Address |
5020 San Pedro Ct Ne Albuquerque NM 87109-2515 |
| Practice Telephone | 5055548302 |
| Practice Fax Number | 5058812646 |
| Mailing Telephone | 5055548302 |
| Mailing Fax Number | 5058812646 |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |
| Authorized Official Name | MISS ROCHELLE ROBYN ATENCIO (BEHAVIORAL HEALTH THERAPIST) |
| Authorized Official Telephone | 5055548302 |
| Authorized Official Credential | LISW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
FAO117647 | NM | Ambulatory Health Care Facilities |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
FA0117647 | NM | Ambulatory Health Care Facilities |
| Street Address |
5020 SAN PEDRO CT NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720569916 | Amber Lynn Roberts | Counselor | 5020 San Pedro Ct Ne, Albuquerque, NM 87109-2515 | 2018-08-24 |
| 1841686342 | Southwest Pueblo Consultants & Counseling Services | Case Management | 5020 San Pedro Ct Ne, Albuquerque, NM 87109-2515 | 2015-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447873757 | Healing Pathways Psychotherapy | Clinic/Center | 315 Alameda Blvd Ne, Albuquerque, NM 87113-1569 | 2020-05-20 |
| 1184246902 | Avenidas Nuevas Counseling LLC | Clinic/Center | 324 Cornell Dr Se, Albuquerque, NM 87106-5513 | 2020-05-14 |
| 1437783529 | Telemental Health Link LLC | Clinic/Center | Telemental Health Link LLC, 5700 Harper Dr Ne, #27, Albuquerque, NM 87109-3573 | 2020-02-27 |
| 1255963898 | New Haven Behavioral Health Services LLC | Clinic/Center | 2900 Louisiana Blvd Ne Ste C1, Albuquerque, NM 87110-3576 | 2020-02-11 |
| 1730736505 | Bonni Amsden LLC | Clinic/Center | 200 Rosemont Ave Ne Suite C, Albuquerque, NM 87102-6171 | 2019-08-26 |
| 1124591490 | New Growth Counseling LLC | Clinic/Center | 2901 Juan Tabo Blvd Ne Ste 101c, Albuquerque, NM 87112-1886 | 2019-01-09 |
| 1902340607 | A New Path Counseling | Clinic/Center | 10417 San Jacinto Ave Ne, Albuquerque, NM 87112-5341 | 2016-12-14 |
| 1598000721 | Neuromental Health Services, Inc | Clinic/Center | 711 Encino Pl Ne Ste F, Albuquerque, NM 87102-2649 | 2012-11-28 |
| 1740428879 | Cynthia Sontag, Lisw, PC | Clinic/Center | 1300 Lomas Blvd Nw, Albuquerque, NM 87104-1234 | 2009-01-28 |
| 1477193118 | Blue Mesa Psychiatry and Counseling LLC | Clinic/Center | 7007 Wyoming Blvd Ne Ste F1, Albuquerque, NM 87109-3983 | 2020-01-10 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on SOUTHWEST PUEBLO CONSULTANTS AND COUNSELING SERVICES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.