Organization Active NPI

Dreamlife Counseling LLC

  • Clinical Psychologist
  • Santa Fe, NM
National Provider Identifier
1104563956
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DREAMLIFE COUNSELING LLC
Practice address
1664 Via Bosque
Santa Fe, NM 87506-4505
Phone
(505) 257-6868
NPI assigned
May 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Authorized official

Name
Kevin Aldrich, LPCC
Title
Ceo
Phone
(505) 257-6868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1664 Via Bosque
Santa Fe, NM 87506-4505

Mailing address

1933 San Mateo Blvd NE # 222
Albuquerque, NM 87110-5146
Phone (505) 257-6868

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1104563956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 SAN MATEO BLVD NE # 222",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105146",
            "telephone_number": "505-257-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 VIA BOSQUE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875064505",
            "telephone_number": "505-257-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAMLIFE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "ALDRICH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-257-6868",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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 May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.