Healthcare Provider Details

I. General information

NPI: 1427907815
Provider Name (Legal Business Name): BETH ANNE SCHIFFER MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 SAN PEDRO DR NE STE 105
ALBUQUERQUE NM
87110-3373
US

IV. Provider business mailing address

2727 SAN PEDRO DR NE STE 105
ALBUQUERQUE NM
87110-3373
US

V. Phone/Fax

Practice location:
  • Phone: 505-278-0447
  • Fax: 188-825-1202
Mailing address:
  • Phone: 505-278-0447
  • Fax: 888-251-2027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCTB-2026-0102
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: