Individual provider Active NPI

Amina Re, LMHC

  • Professional Counselor
  • Santa Fe, NM
National Provider Identifier
1477093326
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0207341 Issued in NM
Practice address
1721 Espinacitas St
Santa Fe, NM 87505-3851
Phone
(410) 507-4126
NPI assigned
Feb 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CCMH0207341 NM Primary

Addresses

Primary practice location

1721 Espinacitas St
Santa Fe, NM 87505-3851

Mailing address

1721 Espinacitas St
Santa Fe, NM 87505-3851
Phone (505) 507-4126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 10, 2024 through Apr 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CCMH0207341NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Zephyrus, LLC PastSince May 13, 2017 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": "1488067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1477093326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 ESPINACITAS ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053851",
            "telephone_number": "505-507-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 ESPINACITAS ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053851",
            "telephone_number": "410-507-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RE",
        "first_name": "AMINA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-26",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0207341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.