Individual provider Active NPI

Cheryl Sciacca, MA, LPCC

  • Mental Health Counselor
  • Santa Fe, NM
National Provider Identifier
1366693038
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0107701 Issued in NM
Practice address
1919 5TH St
Suite M and N
Santa Fe, NM 87505-5402
Phone
(505) 660-3484
NPI assigned
Sep 30, 2008
Last updated
Mar 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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 0107701 NM Primary

Addresses

Primary practice location

1919 5TH St
Suite M and N
Santa Fe, NM 87505-5402

Mailing address

15 Avenida Aldea
Santa Fe, NM 87507-9443
Phone (505) 660-3484

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
I20240111002300 NM Practitioner - Mental Health Counselor 2860665304 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Luz Provider Agency LLCGroup PAC ID 8820436181, 2 clinicians

Practice addresses (Care Compare)

501 Franklin Ave
Unit 6
Santa Fe, NM 87501-3617
Phone (505) 660-3484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0107701NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
La Luz Provider Agency LLC CurrentSince Sep 1, 2022 Accepting new patients
Bluebird in Your Heart Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

501 Franklin Ave
Unit 6
Santa Fe, NM 87501
Phone (505) 385-2043

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1366693038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 AVENIDA ALDEA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875079443",
            "telephone_number": "505-660-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 5TH ST",
            "address_2": "SUITE M AND N",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055402",
            "telephone_number": "505-660-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIACCA",
        "first_name": "CHERYL",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0107701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.