ALLISON BENTON GOSS, LLC (NPI# 1679710677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679710677 |
| Entity Type | Organization |
| Organization Name | ALLISON BENTON GOSS, LLC |
| Other Organization Name | ALLISON L BENTON, LISW |
| Practice Address |
1400 Carlisle Blvd Ne Suite A Albuquerque NM 87110-5667 |
| Practice Telephone | 5052662997 |
| Practice Fax Number | 5052663063 |
| Mailing Telephone | 5052662997 |
| Mailing Fax Number | 5052663063 |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-03-27 |
| Authorized Official Name | ALLISON BENTON GOSS (MEMBER) |
| Authorized Official Telephone | 5052662997 |
| Authorized Official Credential | LISW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Allison L Benton, LISW | Former Legal Business Name - Organization |
| Street Address |
1400 CARLISLE BLVD NE SUITE A |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-5667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841268158 | Virginia C Vary | Social Worker | 1400 Carlisle Blvd Ne, Suite C, Albuquerque, NM 87110-5658 | 2006-03-11 |
| 1366891228 | Jeanmarie Keim | Psychologist | 1400 Carlisle Blvd Ne, Suite 1, Albuquerque, NM 87110-5658 | 2016-06-10 |
| 1972965978 | Adobe Psychological Services Pa | Community/Behavioral Health | 1400 Carlisle Blvd Ne, Suite 1, Albuquerque, NM 87110-5658 | 2016-03-28 |
| 1477801793 | Brian Edward Miller | Counselor | 1400 Carlisle Blvd Ne, Suite B, Albuquerque, NM 87110-5658 | 2012-08-16 |
| 1841452802 | Tamara M Auger | Counselor | 1400 Carlisle Blvd Ne, Suite D, Albuquerque, NM 87110-5658 | 2008-06-30 |
| 1578771929 | Robert B Galligan Jr. | Counselor | 1400 Carlisle Blvd Ne, Albuquerque, NM 87110-5658 | 2007-05-18 |
| 1144370917 | Lorian Kostranchuk, Md, LLC | Psychiatry & Neurology | 1400 Carlisle Blvd Ne, Suite B, Albuquerque, NM 87110-5658 | 2007-01-11 |
| 1831251586 | Lorian J. Kostranchuk | Psychiatry & Neurology | 1400 Carlisle Blvd Ne, Suite B, Albuquerque, NM 87110-5658 | 2006-12-15 |
| 1043378227 | Pathfinder Visions, Inc. | Counselor | 1400 Carlisle Blvd Ne, Suite A, Albuquerque, NM 87110-5658 | 2006-12-04 |
| 1326112442 | Allison Benton Goss | Social Worker | 1400 Carlisle Blvd Ne, Suite A, Albuquerque, NM 87110-5667 | 2006-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215557194 | Firststeps Autism Evaluations LLC | Clinic/Center | 1601 Ridgecrest Dr Se, Albuquerque, NM 87108-4436 | 2020-04-21 |
| 1205472578 | Jennifer S Schneider LLC | Clinic/Center | 7007 Wyoming Blvd Ne Ste F1, Albuquerque, NM 87109-3983 | 2019-11-21 |
| 1023574431 | Trauma Recovery Services, LLC | Clinic/Center | 6121 Indian School Rd Ne Ste 235, Albuquerque, NM 87110-4172 | 2019-02-11 |
| 1386138451 | Inner Peak Youth Counseling, LLC | Clinic/Center | 11000 Candelaria Rd Ne, Albuquerque, NM 87112-1751 | 2018-06-21 |
| 1063929826 | A New Leaf Counseling Services, LLC | Clinic/Center | 5005 4th St Nw Ste 201, Albuquerque, NM 87107-3916 | 2018-01-02 |
| 1356733158 | Southwest Pueblo Consultants and Counseling Services, LLC | Clinic/Center | 5020 San Pedro Ct Ne, Albuquerque, NM 87109-2515 | 2015-03-03 |
| 1194120162 | Audra Carrie May | Clinic/Center | 5301 Sequoia N.w., Albuquerque, NM 87120 | 2014-11-03 |
| 1447895651 | Albuquerque Neuropsychology LLC | Clinic/Center | 4001 Indian School Rd Ne Ste 310, Albuquerque, NM 87110-3832 | 2019-11-12 |
| 1407311749 | Well Play-play Therapy | Clinic/Center | 8102 Menaul Blvd Ne Ste A, Albuquerque, NM 87110-4725 | 2019-01-31 |
| 1376086744 | Child Psychological Services of New Mexico, LLC | Clinic/Center | 2811 Indian School Rd Ne, Albuquerque, NM 87106-1825 | 2016-12-02 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
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| 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.