Active NPI
Anamarie Alexandria Concha, CPSW
- Mental Health Counselor
- Taos, NM
National Provider Identifier
1043984966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1047
- Practice address
- 501 Paseo del Pueblo Norte
Taos, NM 87571-1846 - Phone
- (575) 758-2694
- Fax
- (575) 758-5104
- NPI assigned
- Aug 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1047 | NM | Primary |
Addresses
Primary practice location
501 Paseo del Pueblo Norte
Taos, NM 87571-1846
Mailing address
PO Box 1846
Taos, NM 87571-1846
Phone (575) 758-2694
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72150041 | Medicaid | NM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 1090GoatSpringRoad | Taos Pueblo Division of Health and Community Services |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1047 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1043984966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1846",
"city": "TAOS",
"state": "NM",
"postal_code": "875711846",
"telephone_number": "575-758-2694",
"fax_number": "575-758-5104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 PASEO DEL PUEBLO NORTE",
"city": "TAOS",
"state": "NM",
"postal_code": "875711846",
"telephone_number": "575-758-2694",
"fax_number": "575-758-5104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONCHA",
"first_name": "ANAMARIE",
"middle_name": "ALEXANDRIA",
"credential": "CPSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-04",
"last_updated": "2021-08-04",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "1047",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "72150041",
"state": "NM"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "1090GoatSpringRoad",
"affiliation": "Y",
"endpointDescription": "Clinic Center Mental Health",
"affiliationName": "Taos Pueblo Division of Health and Community Services",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "1090 Goat Spring Road",
"address_1": "1090 Goat Springs Rd",
"city": "Taos",
"state": "NM",
"country_code": "US",
"postal_code": "87571",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Taos, NM
- Community Against Violence
- Complete Behavioral Health, LLC
- Compostela Community and Family Cultural Institute (CC&Fci)
- Bonnie Lee Compton, SCHOOL PSYCHOLOGIST
- Jane Ellen Compton, O.D.
- Naomi J Concha, BMS COORDINATOR
- Margaret Anne Conolly, MD
- Adrianna Justine Cordova
- Belen Cordova, CS
- Cory James Cordova
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.