Organization Active NPI

Integrated Counseling LLC

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1083063309
Registry record updated Jul 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-09424 Issued in NM
Legal business name
INTEGRATED COUNSELING LLC
Practice address
1012 Marquez PL Ste 211
Santa Fe, NM 87505-1834
Phone
(505) 490-2832
NPI assigned
Jun 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2021

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

Authorized official

Name
Rebecca Lehnen, LCSW, LADACNPI 1447461249
Title
Clinical Social Worker
Phone
(505) 490-2832

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 0178651 NM
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X C-09424 NM Primary

Addresses

Primary practice location

1012 Marquez PL Ste 211
Santa Fe, NM 87505-1834

Mailing address

1012 Marquez PL Ste 211
Santa Fe, NM 87505-1834
Phone (505) 490-2832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160718000078 NM Part B Supplier - Clinic/Group Practice 8426340175 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Fe, NM

National Provider Directory

National Provider Directory

Locations

1225 S Saint Francis Dr
Ste B
Santa Fe, NM 87505
Phone (505) 490-2832

1010 Marquez Pl
Ste D5
Santa Fe, NM 87505
Phone (505) 490-2832

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625961600000",
    "number": "1083063309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 MARQUEZ PL STE 211",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051834",
            "telephone_number": "505-490-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 MARQUEZ PL STE 211",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051834",
            "telephone_number": "505-490-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A",
        "authorized_official_last_name": "LEHNEN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "505-490-2832",
        "authorized_official_credential": "LCSW, LADAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0178651",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09424",
            "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 Jul 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.