Individual provider Active NPI

Anna A Gutierrez, LPCC

  • Professional Counselor
  • Santa Fe, NM
National Provider Identifier
1700167608
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0164191 Issued in NM
Practice address
2008 Rosina St
Suite #6
Santa Fe, NM 87505-3271
Phone
(505) 466-2747
NPI assigned
Sep 6, 2011
Last updated
Mar 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0164191 NM Primary

Addresses

Primary practice location

2008 Rosina St
Suite #6
Santa Fe, NM 87505-3271

Mailing address

24B Windspirit Rd
Santa Fe, NM 87505-1442
Phone (505) 466-2747

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
I20241204001476 NM Practitioner - Mental Health Counselor 5698093078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2008 Rosina St
Suite 6
Santa Fe, NM 87505-3284
Phone (505) 699-3488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0164191NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valor LLC CurrentSince Mar 29, 2015 Accepting new patients

Locations

2008 Rosina St
Ste 6
Santa Fe, NM 87505
Phone (505) 466-2747

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": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1700167608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24B WINDSPIRIT RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051442",
            "telephone_number": "505-466-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 ROSINA ST",
            "address_2": "SUITE #6",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053271",
            "telephone_number": "505-466-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ANNA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0164191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.