MS. SHAWNA AVILA KIBUTA MS LMHC NPI 1235588674

NPI Information

NPI: 1235588674
Provider Name: MS. SHAWNA AVILA KIBUTA, MS, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
8205 SPAIN RD NE STE 106
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 856-0300
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MS. Shawna Avila Kibuta, MS, LMHC is a mental health counselor in Albuquerque, NM. MS. Shawna Avila Kibuta, MS, LMHC NPI is 1235588674. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8205 SPAIN RD NE STE 106
ALBUQUERQUE, NM
ZIP 87109-155
Phone: (505) 856-0300
Fax: (505) 856-7946

The enumeration date for this NPI number is 6/7/2016 and was last updated on 10/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker				No
2	101YM0800X	Counselor	Mental Health	CTL0202841	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	N3938	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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