Kendall Derosso

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3952 San Felipe Rd
Santa Fe, NM 87507-8073

Phone

(505) 471-8575

NPI assigned

Apr 15, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Tierra Nueva Counseling Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Fe, NM
  • NPI 1871006981
  NPD

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1750177960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3952 SAN FELIPE RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875078073",
            "telephone_number": "505-471-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3952 SAN FELIPE RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875078073",
            "telephone_number": "505-471-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSSO",
        "first_name": "KENDALL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Department of Health, Public Health Division
• Department of Health, Public Health Division
• Department of Health, Public Health Division
• Dermatology of Santa Fe PC
• Dermatology Partners of Northern New Mexico
• Desert Mountain Skin Cancer Surgery, LLC
• Desert Rain Chiropractic
• Desert Rain Midwifery, LLC
• Desert Resilience Counseling LLC
• Desert Sky Wellness LLC

• Mental Health Counselor in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.