MEDICARE: OPTUM BEHAVIORAL CARE OF OHIO, INC.

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1659250520
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTUM BEHAVIORAL CARE OF OHIO, INC.

Provider Business Mailing Address
First Line	:	1 OPTUM CIR
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-2956
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	609 BROADWAY BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87102-9804
Country	:	US
Telephone Number	:	877-622-0013
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	LESLIE FUCHS
Credential	:
Telephone Number	:	810-358-1643

Provider Enumeration Date	:	08/27/2025
Last Update Date	:	02/16/2026

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1790507531 — HEARTLAND CLINICS OF NEW MEXICO, INC
Practice Location Address:

609 BROADWAY BLVD NE # 100
ALBUQUERQUE, NM
87102-9804

Practice Phone: 904-207-4224
Practice Fax:

1730365362 — KATHLEEN YNEZ PROCTOR M.S., CCC-SLP
Practice Location Address:

6400 UPTOWN BLVD NE #360 WEST
ALBUQUERQUE, NM
87110

Practice Phone: 505-855-9804
Practice Fax:

1346558376 — MORIARTY-EDGEWOOD SCHOOL DISTRICT
Practice Location Address:

200 CENTER DR.
ALBUQUERQUE, NM
87035

Practice Phone: 505-832-5817
Practice Fax:

1376853119 — JAMAAL MOORE LMSW
Practice Location Address:

4501 MORRIS ST NE
ALBUQUERQUE, NM
87111-3790

Practice Phone: 757-450-9804
Practice Fax:

1063904464 — KELSI V WALLA PA
Practice Location Address:

2211 LOMAS BLVD NE
ALBUQUERQUE, NM
87106-2719

Practice Phone: 480-751-9804
Practice Fax:

Directions to “OPTUM BEHAVIORAL CARE OF OHIO, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.