MRS. JANICE GJERTSON LPCC NPI 1356404438

NPI Information

NPI: 1356404438
Provider Name: MRS. JANICE GJERTSON, LPCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
6614 GULTON CT NE, STE C
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 514-2058
Get Directions

MRS. Janice Gjertson, LPCC is a professional counselor in Albuquerque, NM. MRS. Janice Gjertson, LPCC NPI is 1356404438. 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:

6614 GULTON CT NE, STE C
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 514-2058
Fax: (505) 200-2370

The enumeration date for this NPI number is 12/19/2006 and was last updated on 3/8/2023.

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	101Y00000X	Counselor		005818	NEW MEXICO	No
2	101Y00000X	Counselor		CCMH005818	NEW MEXICO	No
3	101YP2500X	Counselor	Professional	CCMH005818	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	37683080	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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