Amanda Ortiz

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

X-12216 Issued in NM

Practice address

536 Los Lentes Rd SE
Los Lunas, NM 87031-7052

Phone

(505) 944-6626

NPI assigned

Aug 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Journey to Wellness Counseling Los Lunas, LLC

  • Mental Health Counselor
  • Los Lunas, NM
  • NPI 1053838375
  Medicare reassignment NPD

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1053049338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3654 SANTA SABINA AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880127488",
            "telephone_number": "575-740-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 LOS LENTES RD SE",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870317052",
            "telephone_number": "505-944-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "X-12216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Hinano Orozco
• Emma Ortega, LPPC
• Nellie Ortega
• Orel Ortega
• Raul Ortega
• Annalicia Ortiz
• Elizabeth Ortiz
• Rebecca Ortiz
• Amy Diane Osborne, LPCC
• Janelle Otero, LMSW

• Clinical Social Worker in Los Lunas, NM
• Providers in Los Lunas, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.

Verify at the official NPI Registry.