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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MANDALA INTEGRATED THERAPY LLC
NPI 1225763568
Community/Behavioral Health in Albuquerque, NM

Active since July 20, 2022
5201 VENICE AVE NE STE A, ALBUQUERQUE, NM 87113(505) 796-6367 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2026, Apr 17, 2026, Nov 13, 2023 and 3 more (6 updates tracked since 2022).

About Mandala Integrated Therapy Llc NPPES

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

MANDALA INTEGRATED THERAPY LLC (NPI 1225763568) is a healthcare organization registered as a community/behavioral health in Albuquerque, New Mexico and active in the NPI registry since July 2022. The organization maintains a secondary practice location in Albuquerque and lists Kathryn M Brock, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1225763568
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMANDALA INTEGRATED THERAPY LLC
Location Address5201 VENICE AVE NE STE AAlbuquerque, NM 87113-2337
Mailing Address5201 Venice Ave Ne Ste AAlbuquerque, NM 87113-2337 · (505) 796-6367
Phone(505) 796-6367
Organization SubpartNo
Authorized OfficialKathryn M BrockClinical Director · (817) 729-9099
Enumeration DateJuly 20, 2022
Last NPPES UpdateJuly 8, 20266 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1225763568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
5201 VENICE AVE NE STE A, Albuquerque, NM 87113
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Secondary Practice Location 1

Location 15200 Pasadena Ave NE Unit EAlbuquerque, NM 87113-2208 · Phone (505) 796-6367 · Fax (505) 533-2135

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA SENAIDA HAYAS LCSW
Social Worker (Clinical)
5201 VENICE AVE NE STE A
ALBUQUERQUE, NM 87113
Bernalillo County (505) 916-2007
MRS. ALESHA GODINO MSW
Social Worker (Clinical)
5201 VENICE AVE NE STE A
ALBUQUERQUE, NM 87113
Bernalillo County (505) 916-2007
MICHELLE ANGELICA TAFOYA MA
Counselor (Professional)
5201 VENICE AVE NE STE A
ALBUQUERQUE, NM 87113
Bernalillo County (505) 796-6367
ERICA CASTELLANO
Community Health Worker
5201 VENICE AVE NE STE A
ALBUQUERQUE, NM 87113
Bernalillo County (505) 796-6367
BRENDA C FIERRO-SIMEONE
Social Worker
5201 VENICE AVE NE STE A
ALBUQUERQUE, NM 87113
Bernalillo County (505) 916-2007
JAMES MATHEW MCCLUNG
Social Worker
5201 VENICE AVE NE STE A
ALBUQUERQUE, NM 87113
Bernalillo County (505) 916-2007
MR. DAVID HUGH DOYLE P-LMSW
Counselor
5201 VENICE AVE NE STE A
ALBUQUERQUE, NM 87113
Bernalillo County (505) 796-6367
ALEXANDRA MALKOSKI
Social Worker
5201 VENICE AVE NE STE A
ALBUQUERQUE, NM 87113
Bernalillo County (505) 796-6367

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 Mandala Integrated Therapy LLC's NPI number?

The NPI number for Mandala Integrated Therapy LLC is 1225763568. It was assigned to this organization in the NPPES registry on July 20, 2022.

Where is Mandala Integrated Therapy LLC located?

Mandala Integrated Therapy LLC is located at 5201 Venice Ave NE Ste A, Albuquerque, NM 87113. The listed phone number is (505) 796-6367.

What is Mandala Integrated Therapy LLC's specialty?

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

What insurance does Mandala Integrated Therapy LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Mandala Integrated Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mandala Integrated Therapy LLC was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 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.