Leah Bevilacqua

Individual provider Active NPI Professional Counselor · Taos, NM

NPI 1437571304 · NPPES record last updated Aug 17, 2026

Key facts

NPI
1437571304
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
1351 Paseo del Pueblo Sur Ste C
Taos, NM 87571-6023
Phone
(575) 224-2232
NPI assigned
Jan 13, 2014
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Bevilacqua LLC Current
since Jul 21, 2024
Accepting new patients
Tri-County Community Services, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Yes

Addresses

Primary practice location

1351 Paseo del Pueblo Sur Ste C
Taos, NM 87571-6023

Mailing address

PO Box 11
El Prado, NM 87529-0011
Phone (575) 751-7552

Other providers in Taos, NM

All providers in Taos, NM · Professional Counselor in New Mexico

Sources for this page

Verify at the official NPI Registry.