Organization Active NPI

Cokata LTD. Liability Company

  • Mental Health Counselor
  • Santa Fe, NM
National Provider Identifier
1114139565
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC0915 Issued in NM
Legal business name
COKATA LTD. LIABILITY COMPANY
Practice address
138 Ridgecrest Dr
Santa Fe, NM 87505-6343
Phone
(505) 471-9154
Fax
(505) 438-9592
NPI assigned
May 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ronald Lee Andes, LPCNPI 1013192707
Title
Co-Manager
Phone
(505) 438-9592

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LPC0915 NM Primary

Addresses

Primary practice location

138 Ridgecrest Dr
Santa Fe, NM 87505-6343

Mailing address

138 Ridgecrest Dr
Santa Fe, NM 87505-6343
Phone (505) 471-9154

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114139565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 RIDGECREST DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056343",
            "telephone_number": "505-471-9154",
            "fax_number": "505-438-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 RIDGECREST DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056343",
            "telephone_number": "505-471-9154",
            "fax_number": "505-438-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COKATA LTD. LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDES",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CO-MANAGER",
        "authorized_official_telephone_number": "505-438-9592",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "LPC0915",
            "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 Aug 22, 2020; 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.