Active NPI
Lisa Dian Wooldridge, LPCC
- Professional Counselor
- Santa Fe, NM
National Provider Identifier
1639254154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0065012
- Practice address
- 411 Saint Michaels Dr Ste 2
Santa Fe, NM 87505-7655 - Phone
- (505) 690-8322
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0065012 | NM | Primary |
Addresses
Primary practice location
411 Saint Michaels Dr Ste 2
Santa Fe, NM 87505-7655
Mailing address
411 Saint Michaels Dr Ste 2
Santa Fe, NM 87505-7655
Phone (505) 690-8322
Other names 1
- Lisa Dian Ware
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0065012 | NM | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1639254154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 SAINT MICHAELS DR STE 2",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875057655",
"telephone_number": "505-690-8322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 SAINT MICHAELS DR STE 2",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875057655",
"telephone_number": "505-690-8322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLDRIDGE",
"first_name": "LISA",
"middle_name": "DIAN",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0065012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "WARE",
"middle_name": "DIAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.