SARAH MICHELLE WYNNE MA LPCC NCC NPI 1427393842

NPI Information

NPI: 1427393842
Provider Name: SARAH MICHELLE WYNNE, MA, LPCC, NCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3321 CANDELARIA RD NE STE 113
ALBUQUERQUE, NM
ZIP 87107
Phone: (505) 980-5932
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Sarah Michelle Wynne, MA, LPCC, NCC is a mental health counselor in Albuquerque, NM. Sarah Michelle Wynne, MA, LPCC, NCC NPI is 1427393842. 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:

3321 CANDELARIA RD NE STE 113
ALBUQUERQUE, NM
ZIP 87107-969
Phone: (505) 980-5932

The enumeration date for this NPI number is 12/11/2012 and was last updated on 4/27/2023.

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			NEW MEXICO	No
2	247200000X	Technician, Other				No
3	373H00000X	Day Training/Habilitation Specialist				No
4	101YM0800X	Counselor	Mental Health	CMH0197821		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	57287244	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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