Individual provider Active NPI

Heather M Rubens, MSW, MPH, LCSW

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1376787622
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-09106 Issued in NM
Practice address
45 Vereda Corta
Santa Fe, NM 87507-9556
Phone
(213) 284-9005
NPI assigned
Apr 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-09106 NM Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

45 Vereda Corta
Santa Fe, NM 87507-9556

Mailing address

45 Vereda Corta
Santa Fe, NM 87507-9556
Phone (213) 284-9005

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-09106NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Star Mountain Therapy, LLC Clinical CurrentSince Jul 20, 2020 Accepting new patients

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": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1376787622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 VEREDA CORTA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875079556",
            "telephone_number": "213-284-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 VEREDA CORTA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875079556",
            "telephone_number": "213-284-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENS",
        "first_name": "HEATHER",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MSW, MPH, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09106",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 17, 2024; 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.