| Wise Mind Counseling | |
|
2424 Juan Tabo Blvd Ne Albuquerque NM 87112-1818 | |
| (505) 317-3792 | |
| (505) 792-6611 |
| Full Name | Wise Mind Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 2424 Juan Tabo Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Samantha Rue (CO-OWNER) |
| Authorized Official Contact | 5053173792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Mind Counseling Po Box 1568 Rio Rancho NM 87174 Ph: () - | Wise Mind Counseling 2424 Juan Tabo Blvd Ne Albuquerque NM 87112-1818 Ph: (505) 317-3792 |
| NPI Number | 1689228579 |
|---|---|
| Provider Enumeration Date | 07/29/2019 |
| Last Update Date | 02/07/2020 |
| Certification Date | 02/07/2020 |
| Medicare PECOS PAC ID | 5193153526 |
|---|---|
| Medicare Enrollment ID | O20200319000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689228579 | NPI | - | NPPES |
| 92756069 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Sara Rhodes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689026577 PECOS PAC ID: 5597009845 Enrollment ID: I20181128000206 |
| Provider Name | Trina M Zahller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679113245 PECOS PAC ID: 9234567561 Enrollment ID: I20200319000629 |
| Provider Name | Leah Neas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063018570 PECOS PAC ID: 9739591892 Enrollment ID: I20211112001055 |
| Provider Name | Catalina Nunez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609358597 PECOS PAC ID: 1850765546 Enrollment ID: I20230321000024 |
| Provider Name | Lisa R Van Meir |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588045249 PECOS PAC ID: 9638507064 Enrollment ID: I20231120000837 |
| Provider Name | Elizabeth Curry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427549179 PECOS PAC ID: 1153779822 Enrollment ID: I20231120001126 |
| Provider Name | Constance M Zatorski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326560376 PECOS PAC ID: 1557719713 Enrollment ID: I20231128002806 |
| Provider Name | Brian Anthony |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902335821 PECOS PAC ID: 2769810365 Enrollment ID: I20231228003700 |
| Provider Name | Hannah Casey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366044703 PECOS PAC ID: 1153768643 Enrollment ID: I20240320000015 |
| Provider Name | Erin Osbourn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720575095 PECOS PAC ID: 9032557624 Enrollment ID: I20240402001047 |
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