Sandoval Carpenter Counseling & Wellness LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0080401 Issued in NM

Legal business name

SANDOVAL CARPENTER COUNSELING & WELLNESS LLC

Practice address

1717 Gros Ventre Dr NE
Rio Rancho, NM 87144-7783

Phone

(505) 350-6643

NPI assigned

Aug 6, 2012

Last updated

Aug 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Antoinette Marie Sandoval Carpenter, MA, LPCCNPI 1447226030

Title

Mental Health Counselor

Phone

(505) 350-6643

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

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.

• Antoinette Sandoval-Carpenter, LPCC

  • Professional Counselor
  • Rio Rancho, NM
  • NPI 1447226030
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1558618942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 GROS VENTRE DR NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871447783",
            "telephone_number": "505-350-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 GROS VENTRE DR NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871447783",
            "telephone_number": "505-350-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDOVAL CARPENTER COUNSELING & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL CARPENTER",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "505-350-6643",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0080401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandia View Family Practice LLC
• Sandia View Wellness LLC
• Sandia Vista Home Care LLC
• Maelene Sandia
• Sandoval Academy of Bilingual Education
• Antoinette Sandoval-Carpenter, LPCC
• Cheyenne E Sandoval-Moore
• Elizabeth Sandoval
• Erica Adelle Sandoval
• Kathryn Sandoval

• Mental Health Counselor in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.