MRS. JULIET C KINKADE-BLACK MFTI, PCCI
NPI 1912253519
Marriage & Family Therapist in Albuquerque, NM

Q: What is Juliet Kinkade-black's NPI number?

The NPI number for Juliet Kinkade-black is 1912253519. It was assigned to this individual provider in the NPPES registry on August 1, 2012.

Q: What is Juliet Kinkade-black's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since August 01, 2012PECOS Enrolled

1709 MOON ST NE, ALBUQUERQUE, NM 87112(505) 271-0329 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Juliet C Kinkade-black Mfti, Pcci NPPES

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

MRS. JULIET C KINKADE-BLACK MFTI, PCCI (NPI 1912253519) is an individual marriage & family therapist in Albuquerque, New Mexico, licensed in New Mexico (0181841) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912253519

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. JULIET C KINKADE-BLACKCredential: MFTI, PCCI

Location Address1709 MOON ST NEAlbuquerque, NM 87112-3935

Mailing Address1709 Moon St NeAlbuquerque, NM 87112-3935 · (505) 271-0329

Phone(505) 271-0329

Sole ProprietorNo

Enumeration DateAugust 1, 2012

Last NPPES UpdateJune 18, 2024

NPPES CertifiedJune 18, 2024

✔ NPI 1912253519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in NM · 0181841

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License IMF76250 (CA), PCCI788 (CA)

1709 MOON ST NE, Albuquerque, NM 87112

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Juliet C Kinkade-black Mfti, Pcci is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

SHERRY MEURER

Counselor