Spring Lake Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SPRING LAKE COUNSELING LLC

Practice address

1318 Vitalia St
Santa Fe, NM 87505-3224

Phone

(505) 433-7364

NPI assigned

Jun 29, 2021

Organization subpart

No

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

Authorized official

Name

Celia Naar, LCSWNPI 1861868036

Title

Owner

Phone

(505) 433-7364

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 2

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

• Celia Naar

  • Clinical Social Worker
  • Santa Fe, NM
  • NPI 1861868036
  Medicare reassignment NPD Authorized official
• Rebecca M. Wright, MA LPCC

  • Mental Health Counselor
  • Santa Fe, NM
  • NPI 1982705208
  NPD (past)

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1225608458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6308",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875026308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 VITALIA ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053224",
            "telephone_number": "505-433-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING LAKE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "NAAR",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-433-7364",
        "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": "1861868036",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Spillman
• Mary K Spindler, PHD, DOM, LMT
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• Elspeth Elaine Springsted, MBBS
• Kelsey Sprout
• Gizelle A Spurgeon, MD
• Amy Elizabeth Spurgin, LCSW
• Sridasi LLC

• 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 Jun 29, 2021; 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.