Active NPI
Puente LLC
- Mental Health Counselor
- Raleigh, NC
National Provider Identifier
1487111779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PUENTE LLC
- Practice address
- 2611 Vega CT
Raleigh, NC 27614-6940 - Phone
- (919) 399-9114
- NPI assigned
- Feb 23, 2019
- 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
- Mrs. Yeimi Amparo Santana
- Title
- General Manager
- Phone
- (919) 399-9114
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Clinical Social Worker | 1041C0700X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
2611 Vega CT
Raleigh, NC 27614-6940
Mailing address
2611 Vega CT
Raleigh, NC 27614-6940
Phone (919) 399-9114
National Provider Directory
National Provider DirectoryLocations
1788 Heritage Center Dr
Ste 202
Wake Forest, NC 27587
Phone (919) 298-0166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583971200000",
"number": "1487111779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 VEGA CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276146940",
"telephone_number": "919-399-9114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 VEGA CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276146940",
"telephone_number": "919-399-9114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUENTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-23",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A",
"authorized_official_last_name": "SANTANA",
"authorized_official_first_name": "YEIMI",
"authorized_official_middle_name": "AMPARO",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "919-399-9114",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.