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Organization Active NPI

Gabrielle Viethen, Ma Mfa Aware LLC

Doing business as Aware Awake Alive

  • Community/Behavioral Health Agency
  • Santa Fe, NM
National Provider Identifier
1467830950
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0708 Issued in NM
Legal business name
GABRIELLE VIETHEN, MA MFA AWARE LLC
Doing business as
Aware Awake Alive
Practice address
2074 Galisteo St Ste B5
Santa Fe, NM 87505-2157
Phone
(505) 988-1431
NPI assigned
May 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Authorized official

Name
Gabrielle Viethen, MA, LMFT
Title
Owner
Phone
(505) 988-1431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0708 NM Primary

Addresses

Primary practice location

2074 Galisteo St Ste B5
Santa Fe, NM 87505-2157

Mailing address

16 Saddle Rd
Santa Fe, NM 87508-9398
Phone (505) 988-1431

Other names 1

  • Aware Awake Alive Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1467830950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SADDLE RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875089398",
            "telephone_number": "505-988-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 GALISTEO ST STE B5",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052157",
            "telephone_number": "505-988-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIELLE VIETHEN, MA MFA AWARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "VIETHEN",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-988-1431",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aware Awake Alive",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 4, 2015; 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.