Organization Active NPI

Puente LLC

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1487111779
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Mar 12, 2020

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.