Individual provider Active NPI

Steven L McGough, LMFT

  • Marriage & Family Therapist
  • Santa Fe, NM
National Provider Identifier
1598884280
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
CTB-2022-0312 Issued in NM
Practice address
3 Herrada CT
Santa Fe, NM 87508-8791
Phone
(505) 466-2198
NPI assigned
Mar 27, 2007
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X CTB-2022-0312 NM Primary

Addresses

Primary practice location

3 Herrada CT
Santa Fe, NM 87508-8791

Mailing address

3 Herrada CT
Santa Fe, NM 87508-8791
Phone (505) 466-2198

Other identifiers 1

IdentifierTypeStateIssuer
NM000221MedicaidNM

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
I20231220000087 NM Practitioner - Marriage and Family Therapist 4082064886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Elevation Counseling LLCGroup PAC ID 6507209236, 19 clinicians

Practice addresses (Care Compare)

6612 Gulton CT NE
Suite a
Albuquerque, NM 87109-4407
Phone (505) 888-1686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CTB-2022-0312NMMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevation Counseling, LLC Marriage & Family Therapist CurrentSince Jan 24, 2024 Accepting new patients

Locations

6612 Gulton Ct NE
Ste A
Albuquerque, NM 87109
Phone (505) 289-0797

Organizations & group practices 1

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1598884280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HERRADA CT",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875088791",
            "telephone_number": "505-466-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HERRADA CT",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875088791",
            "telephone_number": "505-466-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOUGH",
        "first_name": "STEVEN",
        "middle_name": "L",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CTB-2022-0312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NM000221",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.