Gabrielle M Viethen, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0708 Issued in NM

Practice address

1421 Luisa St Ste Q3
Santa Fe, NM 87505-4073

Phone

(505) 988-1431

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heartspace New Mexico LLC

  • Community/Behavioral Health Agency
  • Santa Fe, NM
  • NPI 1780430181
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1245336973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ALTURA RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875088329",
            "telephone_number": "505-988-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 LUISA ST STE Q3",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054073",
            "telephone_number": "505-988-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIETHEN",
        "first_name": "GABRIELLE",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "0708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vernon & Associates Optometry, Inc.
• Patricia Margaret Verzino, CNP
• Vibrant Health Nutrition Consulting, LLC
• Joyce Victor, M.S.W.
• Benjamin Vidalis, M.D.
• Destiny Vigil Chavez
• Gerardine Vigil-Bartels, CNP
• Patricia Vigil-Bartrum
• Cathy M Vigil-Martinez, M.S., CCC-SLP
• Amber Vigil

• Marriage & Family Therapist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Marriage & Family Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.