Individual provider Active NPI

Robert Winthrop Deane, LPCC

  • Mental Health Counselor
  • Santa Fe, NM
National Provider Identifier
1508912650
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0077991 Issued in NM
Practice address
2871 Clark CT
Santa Fe, NM 87507-5179
Phone
(505) 670-3202
NPI assigned
Jan 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0077991 NM Primary

Addresses

Primary practice location

2871 Clark CT
Santa Fe, NM 87507-5179

Mailing address

2442 Cerrillos Rd
PMB 268
Santa Fe, NM 87505-3262
Phone (505) 670-3202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240426000022 NM Practitioner - Mental Health Counselor 9436509783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

P O Box
El Rito, NM 87530-0237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0077991NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Las Clinicas del Norte, Incorporated CurrentSince Mar 12, 2024 Accepting new patients
Las Clinicas del Norte Incorporated CurrentSince Mar 12, 2024 Accepting new patients

Locations

1183 Diamond Dr
Ste D
Los Alamos, NM 87544
Phone (505) 303-0400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508912650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 CERRILLOS RD",
            "address_2": "PMB 268",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053262",
            "telephone_number": "505-670-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2871 CLARK CT",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875075179",
            "telephone_number": "505-670-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANE",
        "first_name": "ROBERT",
        "middle_name": "WINTHROP",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0077991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.