Healthcare Provider Details

I. General information

NPI: 1316143159
Provider Name (Legal Business Name): KARUNA FLUHART NEGRETE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KERRY KARUNA FLUHART NEGRETE MA CSN

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12101 MENAUL BLVD NE STE D
ALBUQUERQUE NM
87112-2460
US

IV. Provider business mailing address

2436 FIGUEROA DR NE
ALBUQUERQUE NM
87112-1915
US

V. Phone/Fax

Practice location:
  • Phone: 831-535-8693
  • Fax:
Mailing address:
  • Phone: 831-535-8693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0218761
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1071
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number46611
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: