Active NPI
Eleanore S Douglas, LPCC
- Professional Counselor
- Santa Fe, NM
National Provider Identifier
1649376989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0091581
- Practice address
- 1011 Flora Dr
Santa Fe, NM 87505-5221 - Phone
- (505) 310-5988
- NPI assigned
- Sep 15, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0091581 | NM | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0091581 | NM | |
| Mental Health Counselor | 101YM0800X | 0091581 | NM | |
| Professional Counselor | 101YP2500X | 0091581 | NM | Primary |
Addresses
Primary practice location
1011 Flora Dr
Santa Fe, NM 87505-5221
Mailing address
1011 Flora Dr
Santa Fe, NM 87505-5221
Phone (505) 310-5988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58032304 | Medicaid | NJ |
Other names 1
- Ms. Lea S Douglas
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 |
|---|---|---|---|
| 0091581 | NM | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1649376989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 FLORA DR",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875055221",
"telephone_number": "505-310-5988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 FLORA DR",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875055221",
"telephone_number": "505-310-5988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLAS",
"first_name": "ELEANORE",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "0091581",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "0091581",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0091581",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0091581",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "58032304",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEA",
"last_name": "DOUGLAS",
"middle_name": "S",
"prefix": "MS.",
"credential": "LPCC",
"code": "5",
"type": "Other 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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.