1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Community Behavioral Health
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

FORMATION COUNSELING SERVICES INC
NPI 1033274535
Community/Behavioral Health in Albuquerque, NM

Active since December 26, 2006
8600 ACADEMY RD NE, ALBUQUERQUE, NM 87111(505) 821-3628(505) 856-7103 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2026, Mar 19, 2019, Mar 11, 2019 (3 updates tracked since 2019).

About Formation Counseling Services Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORMATION COUNSELING SERVICES INC (NPI 1033274535) is a healthcare organization registered as a community/behavioral health in Albuquerque, New Mexico and active in the NPI registry since December 2006. The organization lists Marty Goehring, President, as its authorized official.

NPPES Registry Identity

NPI1033274535
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameFORMATION COUNSELING SERVICES INC
Location Address8600 ACADEMY RD NEAlbuquerque, NM 87111-1107
Mailing Address8600 Academy Rd NeAlbuquerque, NM 87111-1107 · (505) 821-3628 · Fax (505) 856-7103
Phone(505) 821-3628
Fax(505) 856-7103
Organization SubpartNo
Authorized OfficialMarty GoehringPresident · (505) 821-3628
Enumeration DateDecember 26, 2006
Last NPPES UpdateOctober 6, 20263 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1033274535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
8600 ACADEMY RD NE, Albuquerque, NM 87111
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Formation Counseling Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew MexicoEnrollment IDO20130605000327Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Formation Counseling Services Inc, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 17 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Mental Health Counselor11
Clinical Social Worker6
Marriage and Family Therapist2

Clinicians, nearest first (19)

Virginia Canada, LPCC
Mental Health Counselor
NPI 1548339286
8600 ACADEMY RD NE
Albuquerque, NM 87111
(505) 821-3628
✔ PECOS✔ Accepts MedicareSame address
Cara Cawood, LPCC
Mental Health Counselor
NPI 1285923268
8600 ACADEMY RD NE
Albuquerque, NM 87111
(505) 821-3628
✔ PECOS✔ Accepts MedicareSame address
Sara Chapman, LPCC
Mental Health Counselor
NPI 1245316108
8600 ACADEMY RD NE
Albuquerque, NM 87111
(505) 821-3628
✔ PECOS✔ Accepts MedicareSame address
Brian Davis, M.DIV., PH.D.
Mental Health Counselor
NPI 1760568620
8600 ACADEMY RD NE
Albuquerque, NM 87111
(505) 821-3628
✔ PECOS✔ Accepts MedicareSame address
Johanna Depalma
Mental Health Counselor
NPI 1023431673
8600 ACADEMY RD NE
Albuquerque, NM 87111
(505) 821-3628
✔ PECOS✔ Accepts MedicareSame address
Candace Heffelfinger, LPCC
Mental Health Counselor
NPI 1629201587
8600 ACADEMY RD NE
Albuquerque, NM 87111
(505) 821-3628
✔ PECOS✔ Accepts MedicareSame address
Alicia Holder, LCSW
Clinical Social Worker
NPI 1174871941
8600 ACADEMY RD NE
Albuquerque, NM 87111
(505) 821-3628
✔ PECOS✔ Accepts MedicareSame address
Paul Marcus
Marriage and Family Therapist
NPI 1629486352
8600 ACADEMY RD NE
Albuquerque, NM 87111
(505) 821-3628
✔ PECOS✔ Accepts MedicareSame address
Marianne Meador
Clinical Social Worker
NPI 1780997387
8600 ACADEMY RD NE
Albuquerque, NM 87111
(505) 821-3628
✔ PECOS✔ Accepts MedicareSame address
Andrea Pauls, LPCC
Mental Health Counselor
NPI 1477611838
8600 ACADEMY RD NE
Albuquerque, NM 87111
(505) 821-3628
✔ PECOS✔ Accepts MedicareSame address
Veronica Rodriguez, LISW,LCSW,NASW DIPLO
Clinical Social Worker
NPI 1063511533
8600 ACADEMY RD NE
Albuquerque, NM 87111
(505) 821-3628
✔ PECOS✔ Accepts MedicareSame address
Kayla Rogers, LPCC
Mental Health Counselor
NPI 1235524505
8600 ACADEMY RD NE
Albuquerque, NM 87111
(505) 821-3628
✔ PECOSSame address
Ruth Schoder, LPCC
Mental Health Counselor
NPI 1952479370
8600 ACADEMY RD NE
Albuquerque, NM 87111
(505) 821-3628
✔ PECOSSame address
Cynthia Urrutia
Marriage and Family Therapist
NPI 1578398202
8600 ACADEMY RD NE
Albuquerque, NM 87111
(505) 821-3628
✔ PECOSSame address
Mary White, LPCC
Mental Health Counselor
NPI 1902983182
8600 ACADEMY RD NE
Albuquerque, NM 87111
(505) 821-3628
✔ PECOS✔ Accepts MedicareSame address
Don Woods, LISW
Clinical Social Worker
NPI 1437222304
8600 ACADEMY RD NE
Albuquerque, NM 87111
(505) 821-3628
✔ PECOSSame address
Sonja Strack, LCSW
Clinical Social Worker
NPI 1174751572
4601 JUAN TABO BLVD NE
Albuquerque, NM 87111
(505) 821-3628
✔ PECOS✔ Accepts Medicare2.0 mi
Lucy Bertoldo-Ronquillo
Clinical Social Worker
NPI 1215305172
3905 LAS VEGAS DR SW
Albuquerque, NM 87105
(505) 821-3628
✔ PECOS12 mi
Keadron Friar, LPCC LPAT
Mental Health Counselor
NPI 1689850570
1213 DON GASPAR AVE
Santa Fe, NM 87505
(505) 821-3628
✔ PECOS✔ Accepts Medicare50 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Formation Counseling Services Inc's NPI number?

The NPI number for Formation Counseling Services Inc is 1033274535. It was assigned to this organization in the NPPES registry on December 26, 2006.

Where is Formation Counseling Services Inc located?

Formation Counseling Services Inc is located at 8600 Academy Rd NE, Albuquerque, NM 87111. The listed phone number is (505) 821-3628.

What is Formation Counseling Services Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Formation Counseling Services Inc enrolled in Medicare?

Yes. Formation Counseling Services Inc is registered in the Medicare PECOS enrollment system.

When is Formation Counseling Services Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Mexico, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Formation Counseling Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 3 Medicare specialties reassign their Medicare billing to Formation Counseling Services Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (11), Clinical Social Worker (6) and Marriage and Family Therapist (2). Of these, 16 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Formation Counseling Services Inc was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.