Individual provider Active NPI

Lisa Kadel Bartley

  • Mental Health Counselor
  • Santa Fe, NM
National Provider Identifier
1669724043
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0165761 Issued in NM
Practice address
711 S Saint Francis Dr
#2
Santa Fe, NM 87505-3082
Phone
(505) 231-5152
NPI assigned
Oct 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0165761 NM Primary

Addresses

Primary practice location

711 S Saint Francis Dr
#2
Santa Fe, NM 87505-3082

Mailing address

1721C Camino Dos Antonios # 15
Santa Fe, NM 87507-3322
Phone (505) 231-5152

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
I20240124002854 NM Practitioner - Mental Health Counselor 2466805619 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0165761NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Claire Saks Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

501 Franklin Ave
Unit 5
Santa Fe, NM 87501
Phone (505) 690-7372

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": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1669724043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721C CAMINO DOS ANTONIOS # 15",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073322",
            "telephone_number": "505-231-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S SAINT FRANCIS DR",
            "address_2": "#2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053082",
            "telephone_number": "505-231-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLEY",
        "first_name": "LISA",
        "middle_name": "KADEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0165761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.