IndividualActive
Tyson Sam, BA, AA PSYCH
NPI 1982937330 · Addiction (Substance Use Disorder) Counselor · Albuquerque, NM
Provider details
- NPI number
- 1982937330
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- BA, AA PSYCH
- Sex
- Male
- Sole proprietor
- No
- License
- CTB-2026-0225 (NM)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
400 Gold Ave Sw Ste 1200
Albuquerque, NM 87102-3276
Phone: (505) 200-1654
Street-level locationGet directions
Mailing address
400 Gold Ave Sw Ste 1200
Albuquerque, NM 87102-3276
Registry dates
- Enumerated
- 2009-09-16
- Last updated
- 2026-04-22
- Certified
- 2026-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.