Individual provider Active NPI

Johanna Mitchell LPCC

  • Professional Counselor
  • Santa Fe, NM
National Provider Identifier
1427378934
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CTB-2024-0690 Issued in NM
Practice address
4730 Beckner Rd
Santa Fe, NM 87507-3691
Phone
(505) 989-4500
NPI assigned
Jun 7, 2010
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5064 LA
Professional Counselor 101YP2500X CTB-2024-0690 NM Primary

Addresses

Primary practice location

4730 Beckner Rd
Santa Fe, NM 87507-3691

Mailing address

4611 Jamaica Dr NE
Albuquerque, NM 87111-2839
Phone (504) 822-6888

Other practice location 1

4611 Jamaica Dr NE
Albuquerque, NM 87111-2839
Phone (505) 310-1036

Other practice location 2

4201 Carlisle Blvd NE
Albuquerque, NM 87107-4808
Phone (505) 717-1332

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 504-822-6886 Direct

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
I20260316000242 NM Practitioner - Mental Health Counselor 8921581224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Desert HealingGroup PAC ID 2769711050, 14 clinicians

Practice addresses (Care Compare)

4201 Carlisle Blvd NE
Albuquerque, NM 87107-4808
Phone (505) 717-1332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CTB-2024-0690NMMDMental Health Counselor
5064LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
High Desert Healing Multi-Specialty CurrentSince Jan 19, 2026 Accepting new patients

Locations

4201 Carlisle Blvd NE
Albuquerque, NM 87107
Phone (505) 717-1332

Interoperability endpoints

  • Direct secure messaging: johannamitchell@tdh.allscriptsdirect.net

Organizations & group practices 2

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": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1427378934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 JAMAICA DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112839",
            "telephone_number": "504-822-6888",
            "fax_number": "504-822-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 BECKNER RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073691",
            "telephone_number": "505-989-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4611 JAMAICA DR NE",
            "address_purpose": "LOCATION",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112839",
            "country_code": "US",
            "telephone_number": "505-310-1036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4201 Carlisle Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871074808",
            "country_code": "US",
            "telephone_number": "505-717-1332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL LPCC",
        "first_name": "JOHANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5064",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2024-0690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "504-822-6886",
            "affiliation": "N",
            "endpointDescription": "CONFIDENTIAL FAX",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CONFIDENTIAL FAX",
            "address_1": "4227 S Galvez St",
            "city": "New Orleans",
            "state": "LA",
            "country_code": "US",
            "postal_code": "701254523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.