Organization Active NPI

Ana M Guldan, Ma, LPCC, LLC

  • Mental Health Counselor
  • Espanola, NM
National Provider Identifier
1669909537
Registry record updated May 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0109881 Issued in NM
Legal business name
ANA M GULDAN, MA, LPCC, LLC
Practice address
509 W Pueblo Dr
Espanola, NM 87532-2508
Phone
(505) 927-6587
Fax
(505) 367-0077
NPI assigned
May 22, 2017
Last updated
May 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2017

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

Authorized official

Name
Ana Martha Guldan, LPCCNPI 1376640615
Title
Owner
Phone
(505) 927-6587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 0109881 NM Primary

Addresses

Primary practice location

509 W Pueblo Dr
Espanola, NM 87532-2508

Mailing address

PO Box 64
Alcalde, NM 87511-0064
Phone (505) 927-6587

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495411200000",
    "number": "1669909537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64",
            "city": "ALCALDE",
            "state": "NM",
            "postal_code": "875110064",
            "telephone_number": "505-927-6587",
            "fax_number": "505-367-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W PUEBLO DR",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322508",
            "telephone_number": "505-927-6587",
            "fax_number": "505-367-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANA M GULDAN, MA, LPCC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-22",
        "last_updated": "2017-05-22",
        "status": "A",
        "authorized_official_last_name": "GULDAN",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "MARTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-927-6587",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0109881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Espanola, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; 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.