Active NPI
Susan Delores Scroggin, M.A., LPCC, LMFT
- Professional Counselor
- Santa Fe, NM
National Provider Identifier
1003938861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0001063
- Practice address
- 1807 2ND St
#58
Santa Fe, NM 87505-3499 - Phone
- (505) 995-0091
- Fax
- (505) 995-0909
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0065132 | NM | |
| Marriage & Family Therapist | 106H00000X | 0094031 | NM | |
| Professional Counselor | 101YP2500X | LPC.0001063 | CO | Primary |
Addresses
Primary practice location
1807 2ND St
#58
Santa Fe, NM 87505-3499
Mailing address
PO Box 4501
Santa Fe, NM 87502-4501
Phone (505) 470-9605
Other practice location 1
750 Warner Dr
Golden, CO 80401-5297
Phone (303) 925-4340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0001063 | CO | MD | Professional Counselor |
| 0065132 | NM | MD | Professional Counselor |
| 0094031 | NM | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1003938861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4501",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875024501",
"telephone_number": "505-470-9605",
"fax_number": "505-995-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1807 2ND ST",
"address_2": "#58",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875053499",
"telephone_number": "505-995-0091",
"fax_number": "505-995-0909"
}
],
"practiceLocations": [
{
"address_1": "750 Warner Dr",
"address_purpose": "LOCATION",
"city": "Golden",
"state": "CO",
"postal_code": "804015297",
"country_code": "US",
"telephone_number": "303-925-4340",
"fax_number": "303-925-4341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCROGGIN",
"first_name": "SUSAN",
"middle_name": "DELORES",
"name_prefix": "Mrs.",
"credential": "M.A., LPCC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0065132",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NM",
"license": "0094031",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0001063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.