COURAGEOUS TRANSFORMATIONS, INC
NPI 1568838795
Clinic/Center - Methadone in Albuquerque, NM

Active since August 11, 2015CLIA Certified · 2 labs
3301 LOS ARBOLES AVE NE, ALBUQUERQUE, NM 87107(505) 800-7092 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 27, 2022, Sep 19, 2016 (2 updates tracked since 2016).

About Courageous Transformations, Inc NPPES

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

COURAGEOUS TRANSFORMATIONS, INC (NPI 1568838795) is a healthcare organization registered as a methadone in Albuquerque, New Mexico and active in the NPI registry since August 2015. The organization holds 2 active CLIA laboratory certificates and lists Charlotte Breeden, Ceo/director, as its authorized official.

NPPES Registry Identity

NPI1568838795
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameCOURAGEOUS TRANSFORMATIONS, INC
Location Address3301 LOS ARBOLES AVE NEAlbuquerque, NM 87107-1943
Mailing AddressPo Box 35014Albuquerque, NM 87176-5014 · (505) 800-7092
Organization SubpartNo
Authorized OfficialCharlotte BreedenCeo/director · (505) 800-7092
Enumeration DateAugust 11, 2015
Last NPPES UpdateAugust 26, 20242 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
✔ NPI 1568838795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
License✔ Licensed in NM · NM10061M
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
3301 LOS ARBOLES AVE NE, Albuquerque, NM 87107

Other Identifiers 2

Medicaid37101056NM
Medicaid50981331NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courageous Transformations, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Courageous Transformations, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Mental Health Counselor
NPI 1326626581
3301 LOS ARBOLES AVE NE
Albuquerque, NM 87107
(505) 800-7092
✔ PECOSSame address
Mental Health Counselor
NPI 1275082653
2424 MADEIRA DR NE
Albuquerque, NM 87110
(505) 203-1467
✔ PECOS1.5 mi

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2106500

Courageous Transformations, Inc · Albuquerque, NM
Active · expires Dec 17, 2027
CLIA Number32D2106500
Laboratory TypeOpioid Treatment
Certificate Effective DateDecember 18, 2025
Certificate Expiration DateDecember 17, 2027
Laboratory DirectorCharlotte Breedon
Laboratory Phone(505) 800-7092
Laboratory LocationCourageous Transformations, Inc3301 Los Arboles NE, Albuquerque, NM 87107
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 32D2165093

Courageous Transformation Inc · Albuquerque, NM
Active · expires Dec 17, 2027
CLIA Number32D2165093
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2025
Certificate Expiration DateDecember 17, 2027
Laboratory DirectorMs. Ana Bukhari
Laboratory Phone(505) 907-1349
Laboratory LocationCourageous Transformation Inc3223 Los Arboles Ave NE, Albuquerque, NM 87107
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
208 services11 patients

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 Courageous Transformations, Inc's NPI number?

The NPI number for Courageous Transformations, Inc is 1568838795. It was assigned to this organization in the NPPES registry on August 11, 2015.

Where is Courageous Transformations, Inc located?

Courageous Transformations, Inc is located at 3301 Los Arboles Ave NE, Albuquerque, NM 87107. The listed phone number is (505) 800-7092.

What is Courageous Transformations, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Is Courageous Transformations, Inc enrolled in Medicare?

Yes. Courageous Transformations, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Courageous Transformations, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Courageous Transformations, 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Courageous Transformations, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Courageous Transformations, Inc was last updated on August 26, 2024. 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.