Individual provider Active NPI

Marie Niccole Toral, LPCC

  • Professional Counselor
  • Santa Fe, NM
National Provider Identifier
1457543506
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0119901 Issued in NM
Practice address
1600 Lena St
Building C-9
Santa Fe, NM 87505-3891
Phone
(505) 629-9081
NPI assigned
Aug 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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 0119901 NM Primary
Professional Counselor 101YP2500X 9123 NC

Addresses

Primary practice location

1600 Lena St
Building C-9
Santa Fe, NM 87505-3891

Mailing address

125A Mesa Vista St
Santa Fe, NM 87501-1731
Phone (505) 629-9081

Other identifiers 1

IdentifierTypeStateIssuer
57322261MedicaidNM

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

LicenseStateTypeSpecialty
9123NCMDProfessional Counselor
0119901NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Earth Spirit Awakenings LLC PastSince Dec 24, 2016 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1457543506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125A MESA VISTA ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011731",
            "telephone_number": "505-629-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 LENA ST",
            "address_2": "BUILDING C-9",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053891",
            "telephone_number": "505-629-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORAL",
        "first_name": "MARIE",
        "middle_name": "NICCOLE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0119901",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "9123",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57322261",
            "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 May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.