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MR. TYSON JAYE SAM BA, AA PSYCH
NPI 1982937330
Counselor - Addiction (Substance Use Disorder) in Albuquerque, NM

Active since September 16, 2009
400 GOLD AVE SW STE 1200, ALBUQUERQUE, NM 87102(505) 200-1654 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2026, Apr 7, 2026, Mar 27, 2026 (3 updates tracked since 2026).

About Mr. Tyson Jaye Sam Ba, Aa Psych NPPES

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

MR. TYSON JAYE SAM BA, AA PSYCH (NPI 1982937330) is an individual addiction (substance use disorder) provider in Albuquerque, New Mexico, licensed in New Mexico (CTB-2026-0225) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1982937330
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. TYSON JAYE SAMCredential: BA, AA PSYCH
Location Address400 GOLD AVE SW STE 1200Albuquerque, NM 87102-3276
Mailing Address400 Gold Ave Sw Ste 1200Albuquerque, NM 87102-3276 · (505) 200-1654
Phone(505) 200-1654
Sole ProprietorNo
Enumeration DateSeptember 16, 2009
Last NPPES UpdateApril 22, 20263 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1982937330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NM · CTB-2026-0225
400 GOLD AVE SW STE 1200, Albuquerque, NM 87102
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Other Providers at the Same Location NPPES 6

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

RACHEL MAE NAGY LMFT
Marriage & Family Therapist
400 GOLD AVE SW STE 1200
ALBUQUERQUE, NM 87102
Bernalillo County (505) 224-9124
AMY KEENE
Counselor
400 GOLD AVE SW STE 1200
ALBUQUERQUE, NM 87102
Bernalillo County (505) 224-9124
DR. PATRICIA KATHRYN SINGH LPCC, PHD
Counselor (Mental Health)
400 GOLD AVE SW STE 1200
ALBUQUERQUE, NM 87102
Bernalillo County (505) 224-9124
MR. JAMES EUGENE BURKS JR. LSAA, CPSW
Counselor (Addiction (Substance Use Disorder))
400 GOLD AVE SW STE 1200
ALBUQUERQUE, NM 87102
Bernalillo County (505) 224-9124
JULIET SAM-WIAH
Counselor (Addiction (Substance Use Disorder))
400 GOLD AVE SW STE 1200
ALBUQUERQUE, NM 87102
Bernalillo County (505) 224-9124
SETH TERRY
Counselor
400 GOLD AVE SW STE 1200
ALBUQUERQUE, NM 87102
Bernalillo County (505) 224-9124

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 Tyson Sam's NPI number?

The NPI number for Tyson Sam is 1982937330. It was assigned to this individual provider in the NPPES registry on September 16, 2009.

Where is Tyson Sam located?

Tyson Sam practices at 400 Gold Ave SW Ste 1200, Albuquerque, NM 87102. The listed phone number is (505) 200-1654.

What is Tyson Sam's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tyson Sam was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.