Individual provider Active NPI

Merrie-Kate Reynolds, LPCC

  • Mental Health Counselor
  • Santa Fe, NM
National Provider Identifier
1699927772
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0099581 Issued in NM
Practice address
1444 S Saint Francis Dr
C
Santa Fe, NM 87505-4229
Phone
(505) 670-6454
Fax
(505) 473-6192
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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 0099581 NM Primary

Addresses

Primary practice location

1444 S Saint Francis Dr
C
Santa Fe, NM 87505-4229

Mailing address

1444 S Saint Francis Dr
C
Santa Fe, NM 87505-4229
Phone (505) 670-6454

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
I20250305002025 NM Practitioner - Mental Health Counselor 3476993940 Practice locations: Santa Fe, NM

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0099581NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mikahla Beutler LLC PastSince Mar 1, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1699927772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 S SAINT FRANCIS DR",
            "address_2": "C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054229",
            "telephone_number": "505-670-6454",
            "fax_number": "505-473-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 S SAINT FRANCIS DR",
            "address_2": "C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054229",
            "telephone_number": "505-670-6454",
            "fax_number": "505-473-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MERRIE-KATE",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0099581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.