Active NPI
Sandra Michelle Santos Rodriguez, LPCC
- Professional Counselor
- Santa Teresa, NM
National Provider Identifier
1689972036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0171681
- Practice address
- 5300 McNutt Rd
Suite 11
Santa Teresa, NM 88008-9606 - Phone
- (915) 422-1968
- Fax
- (915) 877-5107
- NPI assigned
- Mar 9, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 0171681 | NM | Primary |
Addresses
Primary practice location
5300 McNutt Rd
Suite 11
Santa Teresa, NM 88008-9606
Mailing address
6621 Doniphan Dr Ste G
Canutillo, TX 79835-5005
Phone (915) 877-5100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64153274 | Medicaid | NM | |
| 70336849 | Medicaid | NM |
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 |
|---|---|---|---|
| 0171681 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Casa Blanca, LLC | Current | Accepting new patients | |
| Alternatives Counseling Services, LLC | Past | Accepting new patients | |
| Sunwest Behavioral Associates PA | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Anthony, NM
- NPI 1275100471
-
- Mental Health Counselor
- Las Cruses, NM
- NPI 1538540091
-
- Psychiatry Physician
- El Paso, TX
- NPI 1053578021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1689972036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6621 DONIPHAN DR STE G",
"city": "CANUTILLO",
"state": "TX",
"postal_code": "798355005",
"telephone_number": "915-877-5100",
"fax_number": "915-877-5107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 MCNUTT RD",
"address_2": "SUITE 11",
"city": "SANTA TERESA",
"state": "NM",
"postal_code": "880089606",
"telephone_number": "915-422-1968",
"fax_number": "915-877-5107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS RODRIGUEZ",
"first_name": "SANDRA",
"middle_name": "MICHELLE",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-09",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0171681",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64153274",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "70336849",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Teresa, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.