Active NPI
Santa Fe Recovery Center Inc
- Substance Abuse Rehabilitation Facility
- Santa Fe, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 5382
- Legal business name
- SANTA FE RECOVERY CENTER INC
- Practice address
- 2504 Camino Entrada
Santa Fe, NM 87507-4851 - Phone
- (505) 471-4985
- Fax
- (505) 471-6084
- NPI assigned
- Jul 30, 2006
- Last updated
- Jun 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elisa Schleusener
- Title
- Credentialing Manager
- Phone
- (505) 847-5422
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 5382 | NM | Primary |
| Family Medicine Physician | 207Q00000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
2504 Camino Entrada
Santa Fe, NM 87507-4851
Mailing address
2504 Camino Entrada
Santa Fe, NM 87507-4851
Phone (505) 471-4985
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13134736 | Medicaid | NM | |
| 78172543 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260422003040 | NM | Part B Supplier - Clinic/Group Practice | 4385055417 |
Receives reassigned benefits from 2 practitioners 7 other NPIs on this enrollment Practice locations: Santa Fe, NM; Gallup, NM |
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Substance Abuse Rehabilitation Facility
- Gallup, NM
- NPI 1528805892
O20260422003040
-
- Substance Abuse Rehabilitation Facility
- Gallup, NM
- NPI 1033716972
O20260422003040
-
- Substance Abuse Rehabilitation Facility
- Santa Fe, NM
- NPI 1366074247
O20260422003040
-
- Substance Abuse Rehabilitation Facility
- Santa Fe, NM
- NPI 1487093753
O20260422003040
-
- Substance Abuse Rehabilitation Facility
- Santa Fe, NM
- NPI 1578995676
O20260422003040
-
- Community/Behavioral Health Agency
- Gallup, NM
- NPI 1780491407
O20260422003040
-
dba Four Corners Recovery Detox
- Community/Behavioral Health Agency
- Gallup, NM
- NPI 1881429652
O20260422003040
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2204784 | Santa Fe Recovery Center | Certificate of waiver | Dec 9, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Santa Fe Recovery Center Inc
Other organizations with this tax ID 9
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Gallup, NM
- NPI 1528805892
-
- Substance Abuse Rehabilitation Facility
- Gallup, NM
- NPI 1033716972
-
- Substance Abuse Rehabilitation Facility
- Santa Fe, NM
- NPI 1154256899
-
- Community/Behavioral Health Agency
- Gallup, NM
- NPI 1326852914
-
- Substance Abuse Rehabilitation Facility
- Santa Fe, NM
- NPI 1366074247
-
- Substance Abuse Rehabilitation Facility
- Santa Fe, NM
- NPI 1487093753
-
- Substance Abuse Rehabilitation Facility
- Santa Fe, NM
- NPI 1578995676
-
- Community/Behavioral Health Agency
- Gallup, NM
- NPI 1780491407
-
dba Four Corners Recovery Detox
- Community/Behavioral Health Agency
- Gallup, NM
- NPI 1881429652
Locations
4100 Lucia Ln
Santa Fe, NM 87507
Phone 5054717985 ext. 109
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Santa Fe, NM
- NPI 1306165147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750377600000",
"number": "1447265160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2504 CAMINO ENTRADA",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875074851",
"telephone_number": "505-471-4985",
"fax_number": "505-471-6084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 CAMINO ENTRADA",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875074851",
"telephone_number": "505-471-4985",
"fax_number": "505-471-6084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA FE RECOVERY CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A",
"authorized_official_last_name": "SCHLEUSENER",
"authorized_official_first_name": "ELISA",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "505-847-5422"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "NM",
"license": "5382",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13134736",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78172543",
"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 Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.