Individual provider Active NPI

Rosemary Ann Nowak, M.A.

  • Professional Counselor
  • Santa Fe, NM
National Provider Identifier
1629043138
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
T-0087301 Issued in NM
Practice address
2435 Vereda de Encanto
Santa Fe, NM 87505-5580
Phone
(505) 438-0990
Fax
(505) 438-3444
NPI assigned
Feb 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X T-0087301 NM Primary

Addresses

Primary practice location

2435 Vereda de Encanto
Santa Fe, NM 87505-5580

Mailing address

2435 Vereda de Encanto
Santa Fe, NM 87505-5580
Phone (505) 438-0990

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
I20240625003452 NM Practitioner - Mental Health Counselor 2961946454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
T-0087301NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Counseling CurrentSince Apr 22, 2024 Accepting new patients

Locations

12836 Lomas Blvd NE
Ste B
Albuquerque, NM 87112
Phone (505) 275-7795

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1629043138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 VEREDA DE ENCANTO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055580",
            "telephone_number": "505-438-0990",
            "fax_number": "505-438-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 VEREDA DE ENCANTO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055580",
            "telephone_number": "505-438-0990",
            "fax_number": "505-438-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "ROSEMARY",
        "middle_name": "ANN",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-18",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "T-0087301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.