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

Q: 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.

Q: What is Courageous Transformations, Inc's specialty?

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

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: August 02, 2026.

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

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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

Phone(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

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Other Identifiers 2

Medicaid37101056NM

Medicaid50981331NM

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

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.

RAQUEL A. SANCHEZ MSW

Social Worker (Clinical)