Mutsumi Shoji, LPCC, LPAT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0124501 Issued in NM

Practice address

1229 S Saint Francis Dr
Santa Fe, NM 87505-4052

Phone

(505) 316-5838

Fax

(972) 736-2271

NPI assigned

Sep 2, 2009

Last updated

Mar 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mutsumi Shoji, LLC

  dba Kokoro Wellness

  • Mental Health Counselor
  • Santa Fe, NM
  • NPI 1497455406
  NPD Authorized official
• Presbyterian Medical Services

  dba Teen Health Centers Capital High

  • Federally Qualified Health Center (FQHC)
  • Santa Fe, NM
  • NPI 1114094547
  NPD (past)

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1659504934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 CALLE CEDRO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055297",
            "telephone_number": "505-690-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 S SAINT FRANCIS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054052",
            "telephone_number": "505-316-5838",
            "fax_number": "972-736-2271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2718 Calle Cedro",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875055297",
            "country_code": "US",
            "telephone_number": "505-690-9317",
            "fax_number": "972-736-2271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOJI",
        "first_name": "MUTSUMI",
        "credential": "LPCC, LPAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "0124501",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0124501",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0124501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald C Shina, MD
• Betty Jean Shinas, LISW
• Rio Shirey, LMHC
• Shirley B Scott MD PC
• Robert Shirley, PH.C.
• Brian T. Short, DC
• Stephanie A Shotwell
• Grantley Showalter
• Emma Shows
• Welman Austin Shrader Jr., M.D.

• Mental Health Counselor in Santa Fe, NM
• Providers in Santa Fe, 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 Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.