Life Change Psychotherapy Institute, Pc - Medicare Mental Health Clinic in Albuquerque, NM

Life Change Psychotherapy Institute, Pc is a medicare enrolled mental health clinic (Counselor - Professional) in Albuquerque, New Mexico. The current practice location for Life Change Psychotherapy Institute, Pc is 1200 Eubank Blvd Ne, Albuquerque, New Mexico. For appointments, you can reach them via phone at (505) 271-5050. The mailing address for Life Change Psychotherapy Institute, Pc is 1200 Eubank Blvd Ne, Albuquerque, New Mexico and phone number is (505) 271-5050.

Life Change Psychotherapy Institute, Pc is licensed to practice in New Mexico (license number 0892). The clinic also participates in the medicare program and its NPI number is 1740409135. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (505) 271-5050.

Contact Information

Life Change Psychotherapy Institute, Pc
1200 Eubank Blvd Ne
Albuquerque
NM 87112-5314
(505) 271-5050
(505) 271-1080

Map and Direction


Mental Health Clinic Profile

Full NameLife Change Psychotherapy Institute, Pc
SpecialityCounselor
Location1200 Eubank Blvd Ne, Albuquerque, New Mexico
Authorized Official Name and PositionThomas F. Mckenna (PRESIDENT)
Authorized Official Contact5052715050
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Life Change Psychotherapy Institute, Pc
1200 Eubank Blvd Ne
Albuquerque
NM 87112-5314

Ph: (505) 271-5050
Life Change Psychotherapy Institute, Pc
1200 Eubank Blvd Ne
Albuquerque
NM 87112-5314

Ph: (505) 271-5050

NPI Details:

NPI Number1740409135
Provider Enumeration Date04/24/2007
Last Update Date08/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID6305107897
Medicare Enrollment IDO20180226000378

Medical Identifiers

Medical identifiers for Life Change Psychotherapy Institute, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740409135NPI-NPPES
1194897108OtherNMINDIVIDUAL NPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 0892 (New Mexico)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Life Change Psychotherapy Institute, Pc acts as a billing entity for following providers:
Provider NameGary L Harmon
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1730117649
PECOS PAC ID: 2264595792
Enrollment ID: I20090428000361
Provider NamePatricia E Mckenna
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1467525345
PECOS PAC ID: 2466713961
Enrollment ID: I20180226002624
Provider NameChristopher D Blazina
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1275569774
PECOS PAC ID: 0143233858
Enrollment ID: I20180227003180
Provider NameSteve C Liu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861063687
PECOS PAC ID: 7214314186
Enrollment ID: I20220513002427
Provider NameRachel A Coleman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1487061610
PECOS PAC ID: 2264813963
Enrollment ID: I20220712003651
Provider NameSarah Lynn Lee
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1558350918
PECOS PAC ID: 8921459629
Enrollment ID: I20240107000063
Provider NameKristin Knoll
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1720076136
PECOS PAC ID: 9032560586
Enrollment ID: I20240109001843
Provider NameRachel Millsop
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1598154106
PECOS PAC ID: 1052763471
Enrollment ID: I20240122000359
Provider NameKaren Sue Stockham
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1194387449
PECOS PAC ID: 4587016936
Enrollment ID: I20240122001570
Provider NameAlison Elizabeth Roberts
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1942428693
PECOS PAC ID: 9032562228
Enrollment ID: I20240124000848
Provider NameAnne Lawrence
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1699809228
PECOS PAC ID: 3678926029
Enrollment ID: I20240201001582

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.