Active NPI
Alicia Blankenship
- Professional Counselor
- Santa Fe, NM
National Provider Identifier
1366955981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CTB-2025-0305
- Practice address
- 107 Camino del Campo
Santa Fe, NM 87501-1801 - Phone
- (970) 580-9717
- NPI assigned
- Nov 6, 2017
- Last updated
- Jul 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CTB-2025-0305 | NM | Primary |
Addresses
Primary practice location
107 Camino del Campo
Santa Fe, NM 87501-1801
Mailing address
107 Camino del Campo
Santa Fe, NM 87501-1801
Phone (970) 580-9717
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CTB-2025-0305 | NM | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1366955981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 CAMINO DEL CAMPO",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875011801",
"telephone_number": "970-580-9717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CAMINO DEL CAMPO",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875011801",
"telephone_number": "970-580-9717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANKENSHIP",
"first_name": "ALICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-06",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "CTB-2025-0305",
"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 Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.