Counseling Center of Santa Fe, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COUNSELING CENTER OF SANTA FE, LLC

Practice address

924 Paseo de Peralta Ste 9
Santa Fe, NM 87501-2775

Phone

(505) 603-9184

NPI assigned

Jan 9, 2023

Organization subpart

No

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

Authorized official

Name

Susan Cooper, LCSWNPI 1073914867

Title

LCSW/Owner

Phone

(505) 603-9184

Specialties & licenses 1

Addresses

Other names 1

• Home Dialysis of Santa Fe Former legal business name

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 Cooper, LCSW

  • Clinical Social Worker
  • Santa Fe, NM
  • NPI 1073914867
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1154035798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 PASEO DE PERALTA STE 9",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012775",
            "telephone_number": "505-603-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 PASEO DE PERALTA STE 9",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012775",
            "telephone_number": "505-603-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CENTER OF SANTA FE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "505-603-9184",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Dialysis of Santa Fe",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Colin Coulson, CRNA
• Julia Marie Coulter, O.D.
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• Courtney C. Lee Psychotherapy LLC
• Ellen Cousineau, OTR/L
• Melissa Ann Covington, M.D.

• Clinical Social Worker in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.