Individual provider Active NPI

Vanessa Lynn Torres McGovern, LMHC

  • Mental Health Counselor
  • Santa Fe, NM
National Provider Identifier
1023544061
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0186811 Issued in NM
Practice address
409 Alejandro St
Santa Fe, NM 87501-2379
Phone
(207) 233-3169
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0186811 NM Primary

Addresses

Primary practice location

409 Alejandro St
Santa Fe, NM 87501-2379

Mailing address

409 Alejandro St
Santa Fe, NM 87501-2379
Phone (207) 233-3169

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
I20240110000568 NM Practitioner - Mental Health Counselor 9234580671 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0186811NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Storied Self Counseling Mental Health Current Accepting new patients
Alder and Oak Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients
Alder and Oak Counseling LLC Mental Health PastSince May 19, 2024 Accepting new patients

Locations

3600 Cerrillos Rd
Ste 303
Santa Fe, NM 87507
Phone (505) 257-8554

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1023544061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 ALEJANDRO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012379",
            "telephone_number": "207-233-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 ALEJANDRO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012379",
            "telephone_number": "207-233-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES MCGOVERN",
        "first_name": "VANESSA",
        "middle_name": "LYNN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0186811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.