Individual provider Active NPI

Santina Nicole Shije, LMSW

  • Mental Health Counselor
  • Los Alamos, NM
National Provider Identifier
1518601962
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
M-09543 Issued in NM
Practice address
195 East Rd Ste 104
Los Alamos, NM 87544-4301
Phone
(505) 412-7756
NPI assigned
Apr 22, 2022
Last updated
Apr 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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 M-09543 NM Primary

Addresses

Primary practice location

195 East Rd Ste 104
Los Alamos, NM 87544-4301

Mailing address

32 Deer Tail Rd
Santa Fe, NM 87506-7272
Phone (505) 934-3201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M-09543NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
North Star Psychiatric Services LLC CurrentSince Jan 22, 2023 Accepting new patients
North Star Psychiatric Services, LLC Mental Health CurrentSince Jun 8, 2025 Accepting new patients

Locations

195 East Rd
Ste 104
Los Alamos, NM 87544
Phone (505) 412-7756

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": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1518601962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 DEER TAIL RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875067272",
            "telephone_number": "505-934-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 EAST RD STE 104",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444301",
            "telephone_number": "505-412-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIJE",
        "first_name": "SANTINA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "M-09543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.