AVA CLINIC LLC
NPI 1124902218
Clinic/Center - Mental Health (Including Community Mental Health Center) in Albuquerque, NM
About Ava Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVA CLINIC LLC (NPI 1124902218) is a healthcare organization registered as a mental health (including community mental health center) in Albuquerque, New Mexico and active in the NPI registry since August 2025. The organization lists Nazanin Bagheri, Licensed Clinical Counselor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ava Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ava Clinic LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Ava Clinic LLC's NPI number?
The NPI number for Ava Clinic LLC is 1124902218. It was assigned to this organization in the NPPES registry on August 2, 2025.
Where is Ava Clinic LLC located?
Ava Clinic LLC is located at 4343 Prairie Hill Pl NW, Albuquerque, NM 87114. The listed phone number is (925) 407-6664.
What is Ava Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Ava Clinic LLC enrolled in Medicare?
Yes. Ava Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ava Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Ava Clinic LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ava Clinic LLC was last updated on August 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Ava Clinic Llc · NPI 1124902218
Mental Health (Including Community Mental Health Center) organization in Albuquerque, New Mexico. Organization record, active in the CMS NPPES registry since August 2, 2025.
## Identity
- **NPI:** 1124902218 (Entity type: Organization)
- **Enumerated:** August 2, 2025
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Nazanin Bagheri, LICENSED CLINICAL COUNSELOR
## Practice location
- **Address:** 4343 PRAIRIE HILL PL NW, Albuquerque, NM 87114-5456
- **Phone:** (925) 407-6664
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124902218) · Data from the CMS NPPES public registry.