Sun Mountain Counseling Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-04823 Issued in NM

Legal business name

SUN MOUNTAIN COUNSELING SERVICES

Practice address

1911 5TH St Ste 210
Santa Fe, NM 87505-5403

Phone

(505) 438-1853

Fax

(505) 438-2475

NPI assigned

May 25, 2017

Last updated

May 25, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martin Klehn, LCSW/LADACNPI 1316100274

Title

Owner/Therapist

Phone

(505) 438-1853

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Martin Thomas Klehn, LISW/LADAC

  • Clinical Social Worker
  • Santa Fe, NM
  • NPI 1316100274
  NPD (past) Authorized official

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495670400000",
    "number": "1730617333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2635",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875042635",
            "telephone_number": "505-438-1853",
            "fax_number": "505-438-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 5TH ST STE 210",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055403",
            "telephone_number": "505-438-1853",
            "fax_number": "505-438-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN MOUNTAIN COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-25",
        "last_updated": "2017-05-25",
        "status": "A",
        "authorized_official_last_name": "KLEHN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "505-438-1853",
        "authorized_official_credential": "LCSW/LADAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-04823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316100274",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betsy G Sultan, ROLF PRACTITIONER
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• Clinical Social Worker in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.