Active NPI
Angelica Restrepo
- Mental Health Counselor
- Santa Fe, NM
National Provider Identifier
1750823597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0185341
- Practice address
- 4001 Office Court Dr
Suite 102
Santa Fe, NM 87507-4929 - Phone
- (505) 983-8225
- NPI assigned
- Nov 10, 2016
- Last updated
- Nov 10, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0185341 | NM | Primary |
Addresses
Primary practice location
4001 Office Court Dr
Suite 102
Santa Fe, NM 87507-4929
Mailing address
4 Ladera PL
Santa Fe, NM 87508-8302
Phone (210) 262-8421
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 |
|---|---|---|---|
| 0185341 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Attuned Hearts LLC | Current | Accepting new patients | |
| Earth Spirit Awakenings LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Professional Counselor
- Santa Fe, NM
- NPI 1477345551
-
dba Mesa Vista Wellness
- Community/Behavioral Health Agency
- Santa Fe, NM
- NPI 1447490800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1750823597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 LADERA PL",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875088302",
"telephone_number": "210-262-8421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 OFFICE COURT DR",
"address_2": "SUITE 102",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875074929",
"telephone_number": "505-983-8225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESTREPO",
"first_name": "ANGELICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-10",
"last_updated": "2016-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0185341",
"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 Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.