Organization Active NPI

Zen Lotus Counseling LLC

  • Mental Health Counselor
  • Truth Or Consequences, NM
National Provider Identifier
1215797766
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ZEN LOTUS COUNSELING LLC
Doing business as
Vicki Matthews DBA
Practice address
405 N Date St Ste 9
Truth Or Consequences, NM 87901-2378
Phone
(805) 305-1966
NPI assigned
Mar 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Vicki Marie Matthews, M.A. LPCCNPI 1548619679
Title
Business Owner/ Licensed Counselor
Phone
(575) 520-1919

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 Primary

Addresses

Primary practice location

405 N Date St Ste 9
Truth Or Consequences, NM 87901-2378

Mailing address

PO Box 1354
Elephant Butte, NM 87935-1354
Phone (805) 305-1966

Other names 1

  • Vicki Matthews DBA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240514002233 NM Part B Supplier - Clinic/Group Practice 5890136485 Receives reassigned benefits from 1 practitioner
Practice locations: Truth Or Consequences, NM

National Provider Directory

National Provider Directory

Locations

405 N Date St
Ste 9
Truth Or Consequences, NM 87901
Phone (575) 520-1919

Practitioners & affiliated clinicians

Practitioners 1

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": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1215797766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1354",
            "city": "ELEPHANT BUTTE",
            "state": "NM",
            "postal_code": "879351354",
            "telephone_number": "805-305-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N DATE ST STE 9",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879012378",
            "telephone_number": "805-305-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEN LOTUS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BUSINESS OWNER/ LICENSED COUNSELOR",
        "authorized_official_telephone_number": "575-520-1919",
        "authorized_official_credential": "M.A. LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vicki Matthews DBA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vicki Matthews DBA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Truth Or Consequences, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.