Healthcare Provider Details

I. General information

NPI: 1457285058
Provider Name (Legal Business Name): GEER JOSEPH DIRADDO LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5120 SAN FRANCISCO RD NE
ALBUQUERQUE NM
87109-4610
US

IV. Provider business mailing address

13132 NANDINA LN SE
ALBUQUERQUE NM
87123-4185
US

V. Phone/Fax

Practice location:
  • Phone: 505-705-1125
  • Fax:
Mailing address:
  • Phone: 505-604-7434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCTB-2026-0105
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: