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1558511535

NPI Code Detail

MEDICARE: MS. JENNIFER L. CADY LPCC, LADAC

MEDICARE: MS. JENNIFER L. CADY LPCC, LADAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	1476	NM
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	4290	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1476	OTHER	NM	N.M. COUNSELING AND THERAPY PRACTICE BOARD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558511535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER L. CADY LPCC, LADAC

Provider Business Mailing Address
First Line	:	4169 MONTGOMERY BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87109-6742
Country	:	US
Telephone Number	:	505-235-2882
Fax Number	:

Provider Business Practice Location Address
First Line	:	4169 MONTGOMERY BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87109-6742
Country	:	US
Telephone Number	:	505-261-9770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2008
Last Update Date	:	12/11/2025

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Directions to “ MS. JENNIFER L. CADY LPCC, LADAC” Practice Location

Language	Start Address	Practice Location

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