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MS. LISA MARDEL SMITH
NPI 1366749004
Counselor - Mental Health in Albuquerque, NM

Active since February 15, 2011
1122 CENTRAL AVE SW, ALBUQUERQUE, NM 87102(505) 639-5916 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Lisa Mardel Smith NPPES

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

MS. LISA MARDEL SMITH (NPI 1366749004) is an individual mental health provider in Albuquerque, New Mexico, licensed in New Mexico (CTB-2023-0939) and active in the NPI registry since February 2011. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1366749004
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. LISA MARDEL SMITH
Location Address1122 CENTRAL AVE SWAlbuquerque, NM 87102-2947
Mailing Address301 San Andres Ave NwAlbuquerque, NM 87107-3950 · (505) 639-5916
Phone(505) 639-5916
Sole ProprietorYes
Enumeration DateFebruary 15, 2011
Last NPPES UpdateNovember 13, 2023
NPPES CertifiedNovember 13, 2023
✔ NPI 1366749004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NM · CTB-2023-0939
Also ListedMassage TherapistTaxonomy 225700000X · License 17178 (OR)
1122 CENTRAL AVE SW, Albuquerque, NM 87102
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Secondary Practice Location 1

Location 11201 SW 12th Ave Ste 205Portland, OR 97205-2035 · Phone (503) 279-0205

Other Providers at the Same Location NPPES 3

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

TALIA W SLEDGE LMSW
Social Worker
1122 CENTRAL AVE SW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 850-3502
JENNIFER PADILLA MSW
Social Worker (Clinical)
1122 CENTRAL AVE SW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 331-1571
RYANNE HOOGEBOOM
Student in an Organized Health Care Education/Training Program
1122 CENTRAL AVE SW
ALBUQUERQUE, NM 87102
Bernalillo County (505) 639-5916

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 Lisa Smith's NPI number?

The NPI number for Lisa Smith is 1366749004. It was assigned to this individual provider in the NPPES registry on February 15, 2011.

Where is Lisa Smith located?

Lisa Smith practices at 1122 Central Ave SW, Albuquerque, NM 87102. The listed phone number is (505) 639-5916.

What is Lisa Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lisa Smith was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.