Active NPI
Vista Clara Counseling LLC
- Mental Health Counselor
- Moriarty, NM
National Provider Identifier
1114690443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- VISTA CLARA COUNSELING LLC
- Practice address
- 2005 RT 66 W
Suite F
Moriarty, NM 87035 - Phone
- (505) 433-8822
- NPI assigned
- Aug 2, 2021
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Sara Sadie Lombardi, MS, LPCC
- Title
- Owner/Manager
- Phone
- (505) 433-8822
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Moriarty, NM
- NPI 1578071999
National Provider Directory
National Provider DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Clinical Social Worker | 1041C0700X |
Addresses
NPPES NPI RegistryPrimary practice location
2005 RT 66 W
Suite F
Moriarty, NM 87035
Mailing address
PO Box 2732
Moriarty, NM 87035-2732
Phone (505) 433-8822
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77179579 | Medicaid | NM |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 2, 2021.
{
"created_epoch": "1627862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627862400000",
"number": "1114690443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2732",
"city": "MORIARTY",
"state": "NM",
"postal_code": "870352732",
"telephone_number": "505-433-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 RT 66 W",
"address_2": "SUITE F",
"city": "MORIARTY",
"state": "NM",
"postal_code": "87035",
"telephone_number": "505-433-8822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISTA CLARA COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-02",
"last_updated": "2021-08-02",
"certification_date": "2021-06-09",
"status": "A",
"authorized_official_last_name": "LOMBARDI",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "SADIE",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "505-433-8822",
"authorized_official_credential": "MS, LPCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77179579",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moriarty, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.