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DR. LOAN PHAN PHD
NPI 1720574304
Counselor - Mental Health in Albuquerque, NM

Active since July 06, 2018PECOS EnrolledAccepts Medicare Assignment
10401 MONTGOMERY PKWY NE STE 1-K, ALBUQUERQUE, NM 87111(505) 227-7623 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 26, 2026, Jul 17, 2018, Jul 6, 2018 (3 updates tracked since 2018).

About Dr. Loan Phan Phd NPPES

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

DR. LOAN PHAN PHD (NPI 1720574304) is an individual mental health provider in Albuquerque, New Mexico, licensed in New Mexico (0063831) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1720574304
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. LOAN PHANCredential: PHD
Location Address10401 MONTGOMERY PKWY NE STE 1-KAlbuquerque, NM 87111-3876
Mailing Address10401 Montgomery Pkwy Ne Ste 1-kAlbuquerque, NM 87111-3876 · (505) 227-7623
Phone(505) 227-7623
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 6, 2018
Last NPPES UpdateMarch 26, 20263 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
✔ NPI 1720574304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NM · 0063831
10401 MONTGOMERY PKWY NE STE 1-K, Albuquerque, NM 87111
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Loan Phan Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42730376
PECOS Enrollment IDI20250218000420
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Loan Phan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoenix Counseling Services, LLC
Same address
Professional
10401 MONTGOMERY PKWY NE STE 1K
Albuquerque, NM 87111
  • Reassigned Medicare billing, New Mexico enrollment
  • 2 clinicians in this Medicare group
NPI 1841907094 (505) 227-7623

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

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Jerry ***** August 16, 2025

5/5
She helped me uncover things that had been buried from my past. EMDR, Meditation and caring guidance. I bailed too soon, and after she left GD Psych Services, to pursue he own practice, I could not locate her. Soon after we moved out of state. Thank you to my biggest Phan.
Provider 5/5
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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 Loan Phan's NPI number?

The NPI number for Loan Phan is 1720574304. It was assigned to this individual provider in the NPPES registry on July 6, 2018.

Where is Loan Phan located?

Loan Phan practices at 10401 Montgomery Pkwy NE Ste 1-K, Albuquerque, NM 87111. The listed phone number is (505) 227-7623.

What is Loan Phan's specialty?

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

Is Loan Phan enrolled in Medicare?

Yes. Loan Phan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Loan Phan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Loan Phan reassigns Medicare benefits to Phoenix Counseling Services, LLC (Albuquerque, NM). The 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 Loan Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Loan Phan was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.