Active NPI
Kristi Nelson
- Addiction (Substance Use Disorder) Counselor
- Taos, NM
National Provider Identifier
1407306764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CAD0215941
- Practice address
- 105 Paseo del Canon W
Ste a
Taos, NM 87571-6943 - Phone
- (575) 758-5857
- Fax
- (575) 758-5860
- NPI assigned
- Oct 11, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAD0215941 | NM | Primary |
| Mental Health Counselor | 101YM0800X | CAD0215941 | NM |
Addresses
Primary practice location
105 Paseo del Canon W
Ste a
Taos, NM 87571-6943
Mailing address
105 Paseo del Canon W
Ste a
Taos, NM 87571-6943
Phone (575) 758-5857
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 |
|---|---|---|---|
| CAD0215941 | NM | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757203200000",
"number": "1407306764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 PASEO DEL CANON W",
"address_2": "STE A",
"city": "TAOS",
"state": "NM",
"postal_code": "875716943",
"telephone_number": "575-758-5857",
"fax_number": "575-758-5860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 PASEO DEL CANON W",
"address_2": "STE A",
"city": "TAOS",
"state": "NM",
"postal_code": "875716943",
"telephone_number": "575-758-5857",
"fax_number": "575-758-5860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "KRISTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-11",
"last_updated": "2025-09-07",
"certification_date": "2025-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "CAD0215941",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "CAD0215941",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.