Individual provider Active NPI

Kiley Schmeir-Forrest, LCSW

  • Clinical Social Worker
  • Rio Rancho, NM
National Provider Identifier
1386428480
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-12126 Issued in NM
Practice address
869 Loma Pinon Loop NE
Rio Rancho, NM 87144-0589
Phone
(505) 269-5159
NPI assigned
Aug 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C-12126 NM Primary

Addresses

Primary practice location

869 Loma Pinon Loop NE
Rio Rancho, NM 87144-0589

Mailing address

869 Loma Pinon Loop NE
Rio Rancho, NM 87144-0589
Phone (505) 269-5159

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

LicenseStateTypeSpecialty
C-12126NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Counseling LLC Clinical CurrentSince Aug 18, 2024 Accepting new patients

Locations

1380 Rio Rancho Blvd SE
Rio Rancho, NM 87124
Phone (505) 916-4729

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": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1386428480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 LOMA PINON LOOP NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871440589",
            "telephone_number": "505-269-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 LOMA PINON LOOP NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871440589",
            "telephone_number": "505-269-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMEIR-FORREST",
        "first_name": "KILEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-12126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.