Individual provider Active NPI

Gretchen Wachs, LPCC

  • Professional Counselor
  • Santa Fe, NM
National Provider Identifier
1396093167
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0163211 Issued in NM
Practice address
1532 Cerrillos Rd
Santa Fe, NM 87505-3512
Phone
(505) 490-5653
NPI assigned
Aug 27, 2012
Last updated
May 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0163211 NM Primary

Addresses

Primary practice location

1532 Cerrillos Rd
Santa Fe, NM 87505-3512

Mailing address

P.O.611
Tesuque, NM 87574
Phone (505) 501-0962

Other identifiers 1

IdentifierTypeStateIssuer
44737874MedicaidNM

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
I20250328000040 NM Practitioner - Mental Health Counselor 7517256928 Practice locations: Santa Fe, NM

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1502 Saint Francis Dr
Santa Fe, NM 87505-4332
Phone (505) 501-0962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0163211NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gretchen Wachs LPCC CurrentSince Dec 8, 2024 Accepting new patients

Locations

1502 S Saint Francis Dr
Santa Fe, NM 87505
Phone (505) 390-6802

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, 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": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1396093167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.611",
            "city": "TESUQUE",
            "state": "NM",
            "postal_code": "87574",
            "telephone_number": "505-501-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 CERRILLOS RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053512",
            "telephone_number": "505-490-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHS",
        "first_name": "GRETCHEN",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0163211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44737874",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.