North Star Counseling, LLC

Primary specialty

Mental Health Occupational TherapistTaxonomy code 225XM0800X

Legal business name

NORTH STAR COUNSELING, LLC

Practice address

2 Valencia Loop
Santa Fe, NM 87508-8887

Phone

(505) 515-5028

NPI assigned

Dec 15, 2021

Last updated

Dec 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leasa Medina, LCSWNPI 1477009314

Title

Owner

Phone

(505) 515-5028

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leasa Medina, LCSW

  • Clinical Social Worker
  • Santa Fe, NM
  • NPI 1477009314
  NPD Authorized official

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1336808419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 AVENIDA VISTA GRANDE STE B7",
            "address_2": "#211",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875089207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 VALENCIA LOOP",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875088887",
            "telephone_number": "505-515-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "LEASA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-515-5028",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Occupational Therapist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Mental Health Occupational Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.