Individual provider Active NPI

Meredith Jarocki, LMHC

  • Mental Health Counselor
  • Santa Fe, NM
National Provider Identifier
1336859172
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CTB-2022-0899 Issued in NM
Practice address
3952 San Felipe Rd
Santa Fe, NM 87507-8073
Phone
(505) 471-8575
NPI assigned
Dec 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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-2022-0899 NM Primary

Addresses

Primary practice location

3952 San Felipe Rd
Santa Fe, NM 87507-8073

Mailing address

330 Otero St
Santa Fe, NM 87501-1906
Phone (912) 270-0733

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tierra Nueva Counseling Center, LLC CurrentSince Dec 6, 2022 Accepting new patients

Locations

3952 San Felipe Rd
Santa Fe, NM 87507
Phone (505) 471-8575

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": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1336859172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 OTERO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011906",
            "telephone_number": "912-270-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3952 SAN FELIPE RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875078073",
            "telephone_number": "505-471-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAROCKI",
        "first_name": "MEREDITH",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2022-0899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.