Active NPI
Don J. Chavez
- Clinical Social Worker
- Santa Fe, NM
National Provider Identifier
1417977059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-04730
- Practice address
- 1533 S Saint Francis Dr
Suite E
Santa Fe, NM 87505-4032 - Phone
- (505) 988-4131
- NPI assigned
- Jul 19, 2006
- Last updated
- Jul 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | 9585 | NM | |
| Clinical Social Worker | 1041C0700X | I-04730 | NM | Primary |
Addresses
Primary practice location
1533 S Saint Francis Dr
Suite E
Santa Fe, NM 87505-4032
Mailing address
865 Camino Consuelo
Santa Fe, NM 87507-5034
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9585 | Other | NM | AAPC MEMBERSHIP # |
| A1366 | Medicaid | NM |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2019 Galisteo St
Suite M1A
Santa Fe, NM 87505-2110
Phone (505) 988-4131
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9585 | NM | MD | Pastoral Counselor |
| I-04730 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychotherapy & Pastoral Counseling Associates | Current | Accepting new patients |
Locations
2019 Galisteo St
Ste M1A
Santa Fe, NM 87505
Phone (505) 988-4131
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Fe, NM
- NPI 1083149678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1417977059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 CAMINO CONSUELO",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875075034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1533 S SAINT FRANCIS DR",
"address_2": "SUITE E",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054032",
"telephone_number": "505-988-4131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "DON",
"middle_name": "J.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "NM",
"license": "9585",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-04730",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAPC MEMBERSHIP #",
"identifier": "9585",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A1366",
"state": "NM"
}
],
"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 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.