Individual provider Active NPI

Magdalena Karlick, ATR-BC, LPCC

  • Counselor
  • Santa Fe, NM
National Provider Identifier
1326276288
Registry record updated Apr 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0146971 Issued in NM
Practice address
245 Rosario Blvd Apt C
Santa Fe, NM 87501-1373
Phone
(917) 626-5360
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0144091 NM
Counselor 101Y00000X 0146971 NM Primary

Addresses

Primary practice location

245 Rosario Blvd Apt C
Santa Fe, NM 87501-1373

Mailing address

245 Rosario Blvd Apt C
Santa Fe, NM 87501-1373
Phone (917) 626-5360

Other names 1

  • Magdalena Thompson Other name

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
I20240711002325 NM Practitioner - Mental Health Counselor 3274078597 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0144091NMMDCounselor
0146971NMMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Our Imaginal World, LLC CurrentSince Jun 1, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649462400000",
    "number": "1326276288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 ROSARIO BLVD APT C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011373",
            "telephone_number": "917-626-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 ROSARIO BLVD APT C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011373",
            "telephone_number": "917-626-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARLICK",
        "first_name": "MAGDALENA",
        "credential": "ATR-BC, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "0144091",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "0146971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGDALENA",
            "last_name": "THOMPSON",
            "credential": "ATR-BC, LPCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.