MENDING HEARTS, LLC (NPI# 1487100392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487100392 |
| Entity Type | Organization |
| Organization Name | MENDING HEARTS, LLC |
| Practice Address |
3939 San Pedro Dr Ne Building C, Suite C Albuquerque NM 87110-8900 |
| Mailing Address |
4007 Broadview Pl Nw Albuquerque NM 87107-2717 |
| Practice Telephone | 5059035437 |
| Mailing Telephone | 5054509159 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |
| Authorized Official Name | NIKKA PERALTA (OWNER) |
| Authorized Official Telephone | 5054509159 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C-09284 | NM | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144770264 | Mending Hearts, LLC | Marriage & Family Therapist | 381 Center St, Ste A, Manchester, CT 06040-3924 | 2016-10-12 |
| 1942775689 | Mending Hearts, LLC | In Home Supportive Care | 201 1st St Sw, Alabaster, AL 35007-8527 | 2018-10-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | MENDING HEARTS, LLC | 117 Center St, Manchester, CT 06040 |
| Street Address |
3939 SAN PEDRO DR NE BUILDING C, SUITE C |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023129632 | Sandra Lee Hussey | Massage Therapist | 3939 San Pedro Dr Ne, Suite C5, Albuquerque, NM 87110-8900 | 2006-08-31 |
| 1629494760 | Turning Point Recovery Center, Inc. | Clinic/Center | 3939 San Pedro Dr Ne, D1, Albuquerque, NM 87110-8900 | 2014-03-13 |
| 1356779912 | Julia Marie Kennedy | Psychologist | 3939 San Pedro Dr Ne, Albuquerque, NM 87110-8900 | 2013-10-17 |
| 1023346350 | New Mexico Nurse, LLC. | Nursing Care | 3939 San Pedro Dr Ne, Bldg. C, Albuquerque, NM 87110-8900 | 2009-11-24 |
| 1457476244 | Beverly D Miller | Counselor | 3939 San Pedro Dr Ne, Suite C-4, Albuquerque, NM 87110-8900 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870346 | Erin Lilly Lcsw LLC | Social Worker | 3321b Candelaria Rd Ne Ste 406, Albuquerque, NM 87107-1908 | 2020-10-30 |
| 1659971919 | Erica Denise Ortiz | Social Worker | 6212 Casa Blanca Dr Nw, Albuquerque, NM 87120 | 2020-10-27 |
| 1316545478 | Amy Flinko | Social Worker | 3604 Britt St Ne, Albuquerque, NM 87111-4983 | 2020-10-12 |
| 1558976597 | Skt Counseling LLC | Social Worker | 4620 Hannett Ave Ne, Albuquerque, NM 87110-5014 | 2020-09-15 |
| 1881209948 | Carolyn Marie Peck | Social Worker | 231 Carlisle Blvd Ne, Albuquerque, NM 87106-1348 | 2020-09-14 |
| 1619587839 | Aureaariel Cardiel | Social Worker | 116 Industrial Ave Ne, Albuquerque, NM 87107-2229 | 2020-08-03 |
| 1376153593 | Janette Dejesus | Social Worker | 116 Industrial Ave Ne Ste B, Albuquerque, NM 87107-2229 | 2020-08-03 |
| 1235748096 | Gabrielle Monique Maldonado | Social Worker | 2535 Mervosh Ave Sw, Albuquerque, NM 87105-4821 | 2020-07-28 |
| 1770191033 | Rosemary Laurel Bauman | Social Worker | 1515 Los Jardines Pl Nw, Albuquerque, NM 87104-2317 | 2020-07-22 |
| 1164047841 | Jonathan Wilks, Lcsw, LLC | Social Worker | 4300 Woodrose Rd Nw, Albuquerque, NM 87114-5578 | 2020-06-09 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
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| 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.