Organization Active NPI

Hidden Valley Counseling LLC

  • Mental Health Counselor
  • Taos, NM
National Provider Identifier
1306565569
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HIDDEN VALLEY COUNSELING LLC
Practice address
25 Wapiti Loop Valle Escondido
Taos, NM 87571
Phone
(575) 779-1484
NPI assigned
Aug 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Larissa Mari Weinman, LPCCNPI 1316571235
Title
Therapist/Counselor
Phone
(575) 779-1484

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

25 Wapiti Loop Valle Escondido
Taos, NM 87571

Mailing address

PO Box 3139
Taos, NM 87571-3139
Phone (575) 779-1484

Other identifiers 1

IdentifierTypeStateIssuer
75421062MedicaidNM

Other names 1

  • Larissa Weinman Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1306565569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3139",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875713139",
            "telephone_number": "575-779-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WAPITI LOOP VALLE ESCONDIDO",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "87571",
            "telephone_number": "575-779-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN VALLEY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "WEINMAN",
        "authorized_official_first_name": "LARISSA",
        "authorized_official_middle_name": "MARI",
        "authorized_official_title_or_position": "THERAPIST/COUNSELOR",
        "authorized_official_telephone_number": "575-779-1484",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75421062",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larissa Weinman",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Taos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.