Organization Active NPI

Northern New Mexico Counseling Services, L.L.C.

  • Clinical Social Worker
  • Los Alamos, NM
National Provider Identifier
1699012245
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-04885 Issued in NM
Legal business name
NORTHERN NEW MEXICO COUNSELING SERVICES, L.L.C.
Practice address
555 Oppenheimer Dr
Suite 200
Los Alamos, NM 87544-2384
Phone
(505) 660-5726
NPI assigned
Jan 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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

Authorized official

Name
Miriam Thorp, LCSWNPI 1407105802
Title
Clinical Social Worker
Phone
(505) 660-5726

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C-04885 NM Primary

Addresses

Primary practice location

555 Oppenheimer Dr
Suite 200
Los Alamos, NM 87544-2384

Mailing address

555 Oppenheimer Dr
Suite 200
Los Alamos, NM 87544-2384
Phone (505) 660-5726

National Provider Directory

National Provider Directory

Locations

555 Oppenheimer Dr
Ste 200
Los Alamos, NM 87544
Phone (505) 660-5726

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499731200000",
    "number": "1699012245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 OPPENHEIMER DR",
            "address_2": "SUITE 200",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442384",
            "telephone_number": "505-660-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 OPPENHEIMER DR",
            "address_2": "SUITE 200",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442384",
            "telephone_number": "505-660-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NEW MEXICO COUNSELING SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2017-07-11",
        "status": "A",
        "authorized_official_last_name": "THORP",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "505-660-5726",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-04885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.