Individual provider Active NPI

Stephanie M Cabrera, MA, LPCC

  • Counselor
  • Santa Fe, NM
National Provider Identifier
1093445827
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CCMH0197351 Issued in NM
Practice address
501 Franklin Ave Unit 5
Santa Fe, NM 87501-3617
Phone
(813) 629-3035
NPI assigned
Jun 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CCMH0197351 NM Primary

Addresses

Primary practice location

501 Franklin Ave Unit 5
Santa Fe, NM 87501-3617

Mailing address

633 Elk Dr SE
Albuquerque, NM 87123-3587
Phone (813) 629-3035

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
I20240124003200 NM Practitioner - Mental Health Counselor 4385097542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

501 Franklin Ave
Unit 5
Santa Fe, NM 87501-3617
Phone (505) 690-7372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CCMH0197351NMMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Claire Saks CurrentSince Jan 1, 2024 Accepting new patients

Locations

501 Franklin Ave
Unit 5
Santa Fe, NM 87501
Phone (505) 690-7372

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": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1093445827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 ELK DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871233587",
            "telephone_number": "813-629-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 FRANKLIN AVE UNIT 5",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875013617",
            "telephone_number": "813-629-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "CCMH0197351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.