Organization Active NPI

Mutsumi Shoji, LLC

  • Mental Health Counselor
  • Santa Fe, NM
National Provider Identifier
1497455406
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MUTSUMI SHOJI, LLC
Practice address
1229 S Saint Francis Dr
Santa Fe, NM 87505-4052
Phone
(505) 316-5838
Fax
(972) 736-2271
NPI assigned
Mar 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
Mutsumi Shoji, LPCCNPI 1659504934
Title
Owner
Phone
(505) 316-5838

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1229 S Saint Francis Dr
Santa Fe, NM 87505-4052

Mailing address

2718 Calle Cedro
Santa Fe, NM 87505-5297
Phone (505) 316-5838

Other names 1

  • Kokoro Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1229 S Saint Francis Dr
Santa Fe, NM 87505
Phone (505) 316-5838

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1497455406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 CALLE CEDRO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055297",
            "telephone_number": "505-316-5838",
            "fax_number": "972-736-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 S SAINT FRANCIS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054052",
            "telephone_number": "505-316-5838",
            "fax_number": "972-736-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUTSUMI SHOJI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "SHOJI",
        "authorized_official_first_name": "MUTSUMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-316-5838",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kokoro Wellness",
            "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 Mar 8, 2023; 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.