Organization Active NPI

La Ventana Psychology

  • Psychologist
  • Louisa, VA
National Provider Identifier
1487290177
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
LA VENTANA PSYCHOLOGY
Practice address
209 W Main St
Ste 2
Louisa, VA 23093
Phone
(505) 225-8867
Fax
(505) 933-7530
NPI assigned
Nov 18, 2019
Last updated
Dec 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Jane M Wootton, PHDNPI 1639393143
Title
Sole Owner
Phone
(505) 225-8867

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

209 W Main St
Ste 2
Louisa, VA 23093

Mailing address

PO Box 739
Louisa, VA 23093-0739
Phone (505) 225-8867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230213000809 VA Part B Supplier - Clinic/Group Practice 8820424708 Receives reassigned benefits from 1 practitioner
Practice locations: Louisa, VA

National Provider Directory

National Provider Directory

Locations

2900 Louisiana Blvd NE
Ste 160
Albuquerque, NM 87110

2900 Louisiana Blvd NE
Ste 190
Albuquerque, NM 87110
Phone (505) 225-8867

209 W Main St
Ste 2
Louisa, VA 23093
Phone (505) 225-8867

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1487290177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 739",
            "city": "LOUISA",
            "state": "VA",
            "postal_code": "230930739",
            "telephone_number": "505-225-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W MAIN ST",
            "address_2": "STE 2",
            "city": "LOUISA",
            "state": "VA",
            "postal_code": "23093",
            "telephone_number": "505-225-8867",
            "fax_number": "505-933-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA VENTANA PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "WOOTTON",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "505-225-8867",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.