MEDICARE: TRISHA XAVIERA NOGALES LPCC

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	171M00000X	Case Manager/Care Coordinator
2	101YM0800X	Mental Health Counselor	0161831	NM

General Provider Information

NPI Number	:	1740597772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRISHA XAVIERA NOGALES LPCC

Provider Business Mailing Address
First Line	:	1710 EL CENTRO FAMILIAR BLVD SW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87105-4502
Country	:	US
Telephone Number	:	505-212-7405
Fax Number	:	505-877-3533

Provider Business Practice Location Address
First Line	:	1710 EL CENTRO FAMILIAR BLVD SW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87105
Country	:	US
Telephone Number	:	505-212-7405
Fax Number	:	505-877-3533

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

Provider Enumeration Date	:	09/13/2010
Last Update Date	:	06/03/2026

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

1225659790 — RUBI BETZABETH MURILLO FERNANDEZ
Practice Location Address:

2001 CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM
87105-4592

Practice Phone: 505-873-7400
Practice Fax:

1871251462 — JEANINE ROGGE
Practice Location Address:

1317 ISLETA BLVD SW
ALBUQUERQUE, NM
87105-4035

Practice Phone: 505-312-7296
Practice Fax:

1982052676 — LAURA ANANDA PRICE-WALDMAN LCSW
Practice Location Address:

2001 EL CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM
87105-4592

Practice Phone: 505-873-7400
Practice Fax:

1063345866 — SARAH JOAN PEZOLD LMSW
Practice Location Address:

1317 ISLETA BLVD SW
ALBUQUERQUE, NM
87105-4035

Practice Phone: 505-312-7296
Practice Fax: 505-212-5975

1154328094 — SANTIAGO R. MACIAS MD
Practice Location Address:

2001 EL CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM
87105-4592

Practice Phone: 505-873-7400
Practice Fax:

Directions to “ TRISHA XAVIERA NOGALES LPCC” 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.