Individual provider Active NPI

Nathan Leach, LPCC

  • Mental Health Counselor
  • Espanola, NM
National Provider Identifier
1265067581
Registry record updated Jun 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CTB-2025-0335 Issued in NM
Practice address
1000 N Paseo de Onate
Espanola, NM 87532-2683
Phone
(505) 983-6158
NPI assigned
Mar 6, 2020
Last updated
Jun 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CTB-2025-0335 NM Primary

Addresses

Primary practice location

1000 N Paseo de Onate
Espanola, NM 87532-2683

Mailing address

5 SE 69TH Ave
Portland, OR 97215-1336
Phone (623) 308-2472

Other practice location 1

1160 Parkway Dr
Santa Fe, NM 87507-7322
Phone (505) 983-6158

Other practice location 2

1524 Bishops Lodge Rd
Santa Fe, NM 87505
Phone (505) 983-6158

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

State licenses

LicenseStateTypeSpecialty
CTB-2025-0335NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pinko Therapeutics LLC Mental Health CurrentSince Jun 15, 2025 Accepting new patients
Santa Fe Mountain Center Inc PastSince Mar 9, 2020 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749859200000",
    "number": "1265067581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SE 69TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151336",
            "telephone_number": "623-308-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N PASEO DE ONATE",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322683",
            "telephone_number": "505-983-6158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 Parkway Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875077322",
            "country_code": "US",
            "telephone_number": "505-983-6158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1524 BISHOPS LODGE RD",
            "address_purpose": "LOCATION",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "country_code": "US",
            "telephone_number": "505-983-6158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEACH",
        "first_name": "NATHAN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-06",
        "last_updated": "2025-06-14",
        "certification_date": "2025-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2025-0335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Espanola, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.