NPI 1336178060 · live from the CMS NPI Registry
Age To Age Counseling PC
Counselor in Albuquerque, NM. National Provider Identifier 1336178060, active.
NPI record
| NPI | 1336178060 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor 101Y00000X |
| Practice location | 5916 Anaheim Ave Ne Ste A, Albuquerque, NM 87113 |
| Practice phone | 505-291-6314 |
| Enumerated | July 3, 2006 |
| Last updated | March 2, 2026 |
| Authorized official | Evelyn Rainey, Owner |
| Other names | Age To Age Counseling |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | I04889 (NM) |
| Counselor, Mental Health | 101YM0800X | 0067362 (NM) |
| Psychologist | 103T00000X | 0899 (NM) |
| Community/Behavioral Health | 251S00000X | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 0065462 (NM) |
| Counselor, Professional | 101YP2500X | — |
| Counselor primary | 101Y00000X | 0090661 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.