Active NPI
Robin Lynn Wiley, LPCC
- Professional Counselor
- Santa Fe, NM
National Provider Identifier
1447336441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0070961
- Practice address
- 3012 Cielo CT Ste C
Santa Fe, NM 87507-5088 - Phone
- (505) 920-6554
- Fax
- (505) 473-1297
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0070961 | NM | Primary |
Addresses
Primary practice location
3012 Cielo CT Ste C
Santa Fe, NM 87507-5088
Mailing address
PO Box 22267
Santa Fe, NM 87502
Phone (505) 920-6554
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03871347 | Medicaid | NM | |
| NM100416 | Other | NM | VALUEOPTIONS |
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 |
|---|---|---|---|
| 0070961 | NM | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447336441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22267",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87502",
"telephone_number": "505-920-6554",
"fax_number": "505-473-1297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3012 CIELO CT STE C",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875075088",
"telephone_number": "505-920-6554",
"fax_number": "505-473-1297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILEY",
"first_name": "ROBIN",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0070961",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03871347",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "NM100416",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.