COACHES KORNER & THE EMPOWERMENT CENTER OF NEW MEXICO LLC (NPI# 1841493491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841493491 |
| Entity Type | Organization |
| Organization Name | COACHES KORNER & THE EMPOWERMENT CENTER OF NEW MEXICO LLC |
| Practice Address |
901 Indiana St Se Albuquerque NM 87108-4903 |
| Mailing Address |
5555 Zuni Rd Se Ste 20-277 Albuquerque NM 87108-2942 |
| Practice Telephone | 5052036164 |
| Mailing Telephone | 5052036164 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | MR. GREGORY AYDREN MCNEIL (OWNER) |
| Authorized Official Telephone | 5052036164 |
| Authorized Official Credential | LPCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 0103731 | NM | Agencies |
| Street Address |
901 INDIANA ST SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-4903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345328 | The People's Counseling and Consulting, LLC | Community/Behavioral Health | 4718 Idlewilde Ln Se, Albuquerque, NM 87108-3424 | 2020-10-28 |
| 1689271413 | Thriving Mind LLC | Community/Behavioral Health | 4612 Huyana Dr Nw, Albuquerque, NM 87120-5597 | 2020-10-05 |
| 1922612951 | Connections Counseling LLC | Community/Behavioral Health | 11920 Dahlia Ave Se, Albuquerque, NM 87123-2470 | 2020-09-08 |
| 1396360871 | Integrity Behavior Improvement Services, LLC | Community/Behavioral Health | 1916 Amherst Dr Ne, Albuquerque, NM 87106-1105 | 2020-06-10 |
| 1023647096 | Inner Peace Outreach LLC | Community/Behavioral Health | 3107 San Mateo Blvd Ne, Albuquerque, NM 87110-1921 | 2020-04-02 |
| 1285278242 | Albuquerque United LLC | Community/Behavioral Health | 1100 4th St Nw Ste A, Albuquerque, NM 87102-1416 | 2019-11-03 |
| 1376184150 | True Color Counseling, LLC | Community/Behavioral Health | 3539 Thaxton Ave Se # 3, Albuquerque, NM 87106-1628 | 2019-10-03 |
| 1164073102 | The Growth Place, LLC | Community/Behavioral Health | 301 Graceland Dr Se Ste B, Albuquerque, NM 87108-2778 | 2019-09-20 |
| 1952960312 | Love Is Healing, LLC | Community/Behavioral Health | 120 Dartmouth Dr Se Apt D, Albuquerque, NM 87106-2261 | 2019-06-10 |
| 1144786146 | Seed To Tree Counseling, LLC | Community/Behavioral Health | 104 Serenity Hills Pl Se, Albuquerque, NM 87123-3970 | 2019-02-14 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
Please comment or provide details below to improve the information on COACHES KORNER & THE EMPOWERMENT CENTER OF NEW MEXICO 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.