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BRENDA ANN TANGUMA LSAA
NPI 1366031411
Counselor - Addiction (Substance Use Disorder) in Albuquerque, NM

Active since January 13, 2021
630 HAINES AVE NW, ALBUQUERQUE, NM 87102(505) 268-5611(505) 268-5736 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brenda Ann Tanguma Lsaa NPPES

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

BRENDA ANN TANGUMA LSAA (NPI 1366031411) is an individual addiction (substance use disorder) provider in Albuquerque, New Mexico, licensed in New Mexico (CSA0214911) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1366031411
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameBRENDA ANN TANGUMACredential: LSAA
Location Address630 HAINES AVE NWAlbuquerque, NM 87102-1226
Mailing Address630 Haines Ave NwAlbuquerque, NM 87102-1226 · (505) 268-5611 · Fax (505) 268-5736
Phone(505) 268-5611
Fax(505) 268-5736
Sole ProprietorYes
Enumeration DateJanuary 13, 2021
NPPES CertifiedJanuary 13, 2021
✔ NPI 1366031411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NM · CSA0214911
630 HAINES AVE NW, Albuquerque, NM 87102
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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

Other Providers at the Same Location NPPES 20

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

ELISE NICOLE PEDIGO PA-C
Physician Assistant
630 HAINES AVE NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-5611
JASON FOLEY GILBERT LSAA
Counselor (Addiction (Substance Use Disorder))
630 HAINES AVE NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-5611
SIERRA ANYSSA KENEBREW
Counselor (Addiction (Substance Use Disorder))
630 HAINES AVE NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-5611
MARTY SENNA LSAA
Case Manager/Care Coordinator
630 HAINES AVE NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-5611
METRO TREATMENT OF NEW MEXICO LP
Clinic/Center (Methadone)
630 HAINES AVE NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-5611
NICHOLAS RUBEN ORTEGA LSAA
Counselor (Addiction (Substance Use Disorder))
630 HAINES AVE NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-5611
MR. ROBERT V HILL LSAA
Counselor (Addiction (Substance Use Disorder))
630 HAINES AVE NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-5611
CAROL S JOHNSON LMFT
Marriage & Family Therapist
630 HAINES AVE NW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 268-5611

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 Brenda Tanguma's NPI number?

The NPI number for Brenda Tanguma is 1366031411. It was assigned to this individual provider in the NPPES registry on January 13, 2021.

Where is Brenda Tanguma located?

Brenda Tanguma practices at 630 Haines Ave NW, Albuquerque, NM 87102. The listed phone number is (505) 268-5611.

What is Brenda Tanguma's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Brenda Tanguma was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.