Healthcare Provider Details

I. General information

NPI: 1477193118
Provider Name (Legal Business Name): BLUE MESA PSYCHIATRY AND COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2020
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8210 LA MIRADA PL NE STE 700
ALBUQUERQUE NM
87109-1620
US

IV. Provider business mailing address

8210 LA MIRADA PL NE STE 700
ALBUQUERQUE NM
87109-1620
US

V. Phone/Fax

Practice location:
  • Phone: 505-807-3086
  • Fax:
Mailing address:
  • Phone: 505-807-3086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER SCHNEIDER
Title or Position: PARTNER
Credential: PHD, PMHNP-BC
Phone: 585-626-0006