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AGE TO AGE COUNSELING PC NPI 1336178060


NPI Information

NPI: 1336178060
Provider Name: AGE TO AGE COUNSELING PC

Doing Business As: AGE TO AGE COUNSELING

Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
5916 ANAHEIM AVE NE STE A
ALBUQUERQUE, NM
ZIP 87113
Phone: (505) 291-6314
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AGE TO AGE COUNSELING PC is a counselor in Albuquerque, NM. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. AGE TO AGE COUNSELING PC NPI is 1336178060. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Age To Age Counseling.

The provider's business location address is:

5916 ANAHEIM AVE NE STE A
ALBUQUERQUE, NM
ZIP 87113-894
Phone: (505) 291-6314
Fax: (505) 275-0296

The provider's authorized official is Laura Raigner .
The authorized official title is Office Administrator and has the following contact phone number (505) 291-6314.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 2/28/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor0078161NEW MEXICONo
2101Y00000XCounselor0093081NEW MEXICONo
3101Y00000XCounselor0084431NEW MEXICONo
4101YA0400XCounselorAddiction (Substance Use Disorder)0065462NEW MEXICONo
5101YA0400XCounselorAddiction (Substance Use Disorder)0090291NEW MEXICONo
6101YM0800XCounselorMental Health0078051NEW MEXICONo
7101YM0800XCounselorMental Health0073851NEW MEXICONo
8101YM0800XCounselorMental Health0067362NEW MEXICONo
9101YM0800XCounselorMental Health0069871NEW MEXICONo
10103T00000XPsychologist0899NEW MEXICONo
11104100000XSocial WorkerI04889NEW MEXICONo
12106H00000XMarriage & Family Therapist0086431NEW MEXICONo
13106H00000XMarriage & Family Therapist0138NEW MEXICONo
14101Y00000XCounselor0090661NEW MEXICOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
128008367MEDICAIDNEW 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.