Individual provider Active NPI

Mikahla Kristen Beutler, LPCC

  • Professional Counselor
  • Santa Fe, NM
National Provider Identifier
1255861209
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0173411 Issued in NM
Practice address
1421 Luisa St Ste B
Santa Fe, NM 87505-4073
Phone
(505) 699-7311
NPI assigned
Jun 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0173411 NM Primary

Addresses

Primary practice location

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

Mailing address

PO Box 727
Tesuque, NM 87574-0727
Phone (505) 699-7311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240524001985 NM Practitioner - Mental Health Counselor 1456793256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1421 Luisa St
Suite C
Santa Fe, NM 87505-4073
Phone (505) 663-6464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0173411NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mikahla Beutler LLC Professional CurrentSince Mar 1, 2024 Accepting new patients

Locations

1421 Luisa St
Ste C
Santa Fe, NM 87505
Phone (505) 231-4804

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.

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1255861209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "TESUQUE",
            "state": "NM",
            "postal_code": "875740727",
            "telephone_number": "505-699-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 LUISA ST STE B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054073",
            "telephone_number": "505-699-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEUTLER",
        "first_name": "MIKAHLA",
        "middle_name": "KRISTEN",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0173411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.