MR. RONALD LEE TIMMCKE M.A NPI 1760702740

NPI Information

NPI: 1760702740
Provider Name: MR. RONALD LEE TIMMCKE, M.A
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4253 MONTGOMERY BLVD NE
SUITE 220
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 342-0400
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MR. Ronald Lee Timmcke, M.A is a mental health counselor in Albuquerque, NM. MR. Ronald Lee Timmcke, M.A NPI is 1760702740. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4253 MONTGOMERY BLVD NE
SUITE 220
ALBUQUERQUE, NM
ZIP 87109-106
Phone: (505) 342-0400
Fax: (505) 342-0500

The enumeration date for this NPI number is 6/1/2010 and was last updated on 9/23/2013.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	3907	NEW MEXICO	No
2	101YM0800X	Counselor	Mental Health	2741	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	Z4928	MEDICAID	NEW MEXICO
2	1054648	OTHER	NEW MEXICO	CIGNA BEHAVIORAL HEALTH INC.
3	43728	OTHER	NEW MEXICO	PRESBYTERIAN
4	000189347	OTHER	NEW MEXICO	OPTUM HEALTH 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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