ALBUQUERQUE COLLABORATIVE THERAPEUTICS, INC. (NPI# 1306961131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306961131 |
| Entity Type | Organization |
| Organization Name | ALBUQUERQUE COLLABORATIVE THERAPEUTICS, INC. |
| Practice Address |
301 Graceland Dr Se Suite E Albuquerque NM 87108-2778 |
| Practice Telephone | 5052551756 |
| Practice Fax Number | 5052551293 |
| Mailing Telephone | 5052551756 |
| Mailing Fax Number | 5052551293 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BETH O'ROURKE (OWNER) |
| Authorized Official Telephone | 5052551756 |
| Authorized Official Credential | LISW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| X | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| X | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | D4179 | 05 |
| Street Address |
301 GRACELAND DR SE SUITE E |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-2778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891784476 | Brenda N Susman | Marriage & Family Therapist | 301 Graceland Dr Se, Suite C, Albuquerque, NM 87108-2778 | 2005-10-17 |
| 1881053023 | Empower Therapy Group | Social Worker | 301 Graceland Dr Se, Suite C, Albuquerque, NM 87108-2778 | 2016-02-16 |
| 1710357058 | Clare Lizbeth Jensen | Counselor | 301 Graceland Dr Se, Albuquerque, NM 87108-2778 | 2015-09-29 |
| 1215244298 | Jennifer Mccash Inc. | Community/Behavioral Health | 301 Graceland Dr Se, Suite D, Albuquerque, NM 87108-2778 | 2010-09-11 |
| 1932245255 | Kneelynn A. Gray | Social Worker | 301 Graceland Dr Se, Suite B, Albuquerque, NM 87108-2778 | 2007-01-30 |
| 1699820035 | Lydia J. Fabbroni | Social Worker | 301 Graceland Dr Se, Suite E, Albuquerque, NM 87108-2778 | 2007-01-24 |
| 1407913189 | Sharon L Bernstein | Social Worker | 301 Graceland Dr Se, Suite A, Albuquerque, NM 87108-2778 | 2007-01-02 |
| 1275601858 | Linda Henry Orell | Counselor | 301 Graceland Dr Se, Suite B, Albuquerque, NM 87108-2778 | 2006-12-01 |
| 1992712368 | Susan Kathryn Burns | Social Worker | 301 Graceland Dr Se, Suite C, Albuquerque, NM 87108-2778 | 2006-08-01 |
| 1467436386 | Amanda Wilder | Social Worker | 301 Graceland Dr Se, Suite C, Albuquerque, NM 87108-2778 | 2005-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163481 | Metta Therapeutics LLC | Counselor | 6505 Kaas Trail Ct Ne, Albuquerque, NM 87111-7114 | 2020-10-29 |
| 1962019349 | Marlina Charisse Mccall | Counselor | 6720 Boca Negra Pl Nw, Albuquerque, NM 87120-1327 | 2020-09-29 |
| 1710599394 | Korinna Leigh Dennehey | Counselor | 625 Silver Ave Sw Ste 190, Albuquerque, NM 87102-3186 | 2020-08-17 |
| 1235747908 | Susan Gayle Hakeem | Counselor | 9628 Prospect Ave Ne, Albuquerque, NM 87112-2933 | 2020-07-20 |
| 1740803196 | The Hope Holders Counseling Services | Counselor | 4200 Spanish Bit Ne Apt B105, Albuquerque, NM 87111-4269 | 2020-05-20 |
| 1386264349 | Susan Mckee | Counselor | 8900 Liberty Dr Ne, Albuquerque, NM 87109-5173 | 2020-04-20 |
| 1932738689 | Gretchen Donelle Hanks | Counselor | 1004 Brazos Ct Se, Albuquerque, NM 87123-4258 | 2020-04-05 |
| 1386279297 | Counseling Albuquerque | Counselor | 4906 Alameda Blvd Ne Ste A, Albuquerque, NM 87113-1362 | 2020-03-11 |
| 1003441015 | Solamente Holistic Health | Counselor | 833 Lomas Blvd Nw, Albuquerque, NM 87102-1955 | 2020-03-10 |
| 1073146007 | Leslie Christine Stannard | Counselor | 5203 Juan Tabo Blvd Ne Ste A, Albuquerque, NM 87111-2683 | 2020-02-18 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
Please comment or provide details below to improve the information on ALBUQUERQUE COLLABORATIVE THERAPEUTICS, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.