NPIMap

Organization Active NPI

Lark's Nest Family Counseling Center

  • Marriage & Family Therapist
  • Santa Fe, NM
National Provider Identifier
1235495979
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0145811 Issued in NM
Legal business name
LARK'S NEST FAMILY COUNSELING CENTER
Practice address
422 Medico LN
Suite a
Santa Fe, NM 87505-4786
Phone
(505) 954-1365
Fax
(505) 254-1453
NPI assigned
Apr 6, 2012
Last updated
May 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Authorized official

Name
Dr. Michele Johnson, EDD, BCPC, LMFTNPI 1770782955
Title
Clinical Director
Phone
(505) 954-1365

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0142451 NM
Marriage & Family Therapist 106H00000X 0145811 NM Primary
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

422 Medico LN
Suite a
Santa Fe, NM 87505-4786

Mailing address

422 Medico LN
Suite a
Santa Fe, NM 87505-4786
Phone (505) 954-1365

National Provider Directory

National Provider Directory

Locations

422 Medico Ln
Ste A
Santa Fe, NM 87505
Phone (505) 954-1365

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1235495979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 MEDICO LN",
            "address_2": "SUITE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054786",
            "telephone_number": "505-954-1365",
            "fax_number": "505-254-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 MEDICO LN",
            "address_2": "SUITE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054786",
            "telephone_number": "505-954-1365",
            "fax_number": "505-254-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARK'S NEST FAMILY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "505-954-1365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, BCPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0142451",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "0145811",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 May 14, 2015; 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.