Individual provider Active NPI

Terry Barsano

  • Professional Counselor
  • El Prado, NM
National Provider Identifier
1003089079
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1299 B Paseo del Pueblo Norte
El Prado, NM 87529
Phone
(575) 758-7263
NPI assigned
Apr 10, 2008
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0091171 NM
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1299 B Paseo del Pueblo Norte
El Prado, NM 87529

Mailing address

HC 74 Box 20412
El Prado, NM 87529-9504

Other practice location 1

2504 Camino Entrada
Santa Fe, NM 87507-4851
Phone (505) 388-0982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240227003656 NM Practitioner - Mental Health Counselor 5698110930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2504 Camino Entrada
Santa Fe, NM 87507-4851
Phone (505) 216-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0091171NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teambuilders Behavioral Health, LLC CurrentSince Jan 22, 2024 Accepting new patients
Teambuilders Behavioral Health, LLC CurrentSince Jan 22, 2024 Accepting new patients
Teambuilders Behavioral Health, LLC Mental Health Current Accepting new patients

Locations

2504 Camino Entrada
Santa Fe, NM 87507
Phone (505) 216-2727

105 Paseo del Canon W
Taos, NM 87571
Phone (575) 751-7037

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1003089079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 74 BOX 20412",
            "city": "EL PRADO",
            "state": "NM",
            "postal_code": "875299504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 B PASEO DEL PUEBLO NORTE",
            "city": "EL PRADO",
            "state": "NM",
            "postal_code": "87529",
            "telephone_number": "575-758-7263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2504 Camino Entrada",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875074851",
            "country_code": "US",
            "telephone_number": "505-388-0982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARSANO",
        "first_name": "TERRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0091171",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Prado, NM

Sources for this page

Verify at the official NPI Registry.