Individual provider Active NPI

Rosvita N.a. Botkin, PH.D., LMHC.,LPAT.,

  • Mental Health Counselor
  • Santa Fe, NM
National Provider Identifier
1174734370
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0263 Issued in NM
Practice address
1310 Lejano LN
Santa Fe, NM 87501-8749
Phone
(505) 988-2601
Fax
(505) 988-2601
NPI assigned
May 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0263 NM Primary

Addresses

Primary practice location

1310 Lejano LN
Santa Fe, NM 87501-8749

Mailing address

1310 Lejano LN
Santa Fe, NM 87501-8749
Phone (505) 988-2601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0263NMMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1180224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174734370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 LEJANO LN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875018749",
            "telephone_number": "505-988-2601",
            "fax_number": "505-988-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 LEJANO LN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875018749",
            "telephone_number": "505-988-2601",
            "fax_number": "505-988-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTKIN",
        "first_name": "ROSVITA",
        "middle_name": "N.A.",
        "credential": "PH.D., LMHC.,LPAT.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0263",
            "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 Jul 8, 2007; 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.