Active NPI
Marcie Stoddard
- Mental Health Counselor
- Santa Fe, NM
National Provider Identifier
1073057121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CMH0197871
- Practice address
- 2325 Cerrillos Rd
Santa Fe, NM 87505 - Phone
- (505) 438-0010
- Fax
- (505) 438-6011
- NPI assigned
- Dec 8, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CMH0197871 | NM | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
2325 Cerrillos Rd
Santa Fe, NM 87505
Mailing address
4949 San Pedro Dr NE
Albuquerque, NM 87109-2519
Phone (505) 231-0889
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 |
|---|---|---|---|
| CMH0197871 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Life Link | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
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": "1481155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1073057121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4949 SAN PEDRO DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871092519",
"telephone_number": "505-231-0889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 CERRILLOS RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87505",
"telephone_number": "505-438-0010",
"fax_number": "505-438-6011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STODDARD",
"first_name": "MARCIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-08",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "CMH0197871",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"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 Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.