Amanda Abeyta, LADAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CTB-2024-0276 Issued in NM

Practice address

835 Spruce St Ste C&D
Espanola, NM 87532-3455

Phone

(505) 747-7400

Fax

(505) 443-8310

NPI assigned

Mar 6, 2020

Sex

Female

Sole proprietor

No

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.

• Santa Fe Mountain Center Inc

  • Community/Behavioral Health Agency
  • Tesuque, NM
  • NPI 1861695769
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 13, 2026.

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1356976674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 SPRUCE ST STE C&D",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875323455",
            "telephone_number": "505-747-7400",
            "fax_number": "505-443-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 SPRUCE ST STE C&D",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875323455",
            "telephone_number": "505-747-7400",
            "fax_number": "505-443-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEYTA",
        "first_name": "AMANDA",
        "credential": "LADAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CTB-2024-0276",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mustapha Kamel Abouda, MD
• Davita Adanuvor
• Adi Shakti Acupuncture Inc.
• Jorge A Aguilar, MD
• Sixto Aguirre

• All providers in Espanola, NM
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.