Susan Nelsen Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SUSAN NELSEN COUNSELING LLC

Practice address

805 Early St
Santa Fe, NM 87505-1607

Phone

(505) 490-0339

NPI assigned

Apr 16, 2020

Organization subpart

No

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

Authorized official

Name

Susan Nelsen, LCSWNPI 1720394232

Title

Owner/Provider

Phone

(505) 660-5026

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

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

• Susan Nelsen, LISW

  • Clinical Social Worker
  • Santa Fe, NM
  • NPI 1720394232
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1124648407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 HUDDLESON ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011728",
            "telephone_number": "505-660-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 EARLY ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051607",
            "telephone_number": "505-490-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN NELSEN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "NELSEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "505-660-5026",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8802835",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunflower Wellness Center LLC
• Sunset Sleep Center, LTD
• Sunshine Advantage of NM
• Susan Harris LPCC, LLC
• Susan M Bright DC PC
• James Herbert Sussman, D. O.
• Nicholas James Sutherland, M.D.
• Corey Sutter, CNP
• Sasha E Sutton
• Susan Christine Sutton, LPCC

• Community/Behavioral Health Agency in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.