Active NPI
Sarah Sue Teasdale, LPCC LADAC MA
- Addiction (Substance Use Disorder) Counselor
- Los Alamos, NM
National Provider Identifier
1255407342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 3661
- Practice address
- 1362 C Trinity Dr
Los Alamos, NM 87544 - Phone
- (505) 662-3600
- Fax
- (505) 662-0937
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3661 | NM | Primary |
| Professional Counselor | 101YP2500X | 0472 | NM |
Addresses
Primary practice location
1362 C Trinity Dr
Los Alamos, NM 87544
Mailing address
1362 C Trinity Dr
Corazon
Los Alamos, NM 87544
Phone (505) 662-3600
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0472 | NM | MD | Professional Counselor |
| 3661 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corazon Behavioral Health Services Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Alamos, NM
- NPI 1366514861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1255407342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1362 C TRINITY DR",
"address_2": "CORAZON",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "87544",
"telephone_number": "505-662-3600",
"fax_number": "505-662-0937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1362 C TRINITY DR",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "87544",
"telephone_number": "505-662-3600",
"fax_number": "505-662-0937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEASDALE",
"first_name": "SARAH",
"middle_name": "SUE",
"name_prefix": "Ms.",
"credential": "LPCC LADAC MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "3661",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0472",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Alamos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.