Active NPI
Vicki Hart
- Professional Counselor
- Santa Fe, NM
National Provider Identifier
1740859065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCSW14354
- Practice address
- 4 Bonito Rd
Santa Fe, NM 87508-8792 - Phone
- (415) 699-5328
- NPI assigned
- Jun 21, 2021
- Last updated
- Jun 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | LCSW14354 | CA | Primary |
Addresses
Primary practice location
4 Bonito Rd
Santa Fe, NM 87508-8792
Mailing address
4 Bonito Rd
Santa Fe, NM 87508-8792
Phone (415) 699-5328
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 |
|---|---|---|---|
| LCSW14354 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1740859065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 BONITO RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875088792",
"telephone_number": "415-699-5328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 BONITO RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875088792",
"telephone_number": "415-699-5328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "VICKI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-21",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LCSW14354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.