Louisa Bidwell Putnam, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0188861 Issued in NM

Practice address

333 Rio Rancho Dr NE Ste 205
Rio Rancho, NM 87124-1456

Phone

(505) 814-1460

NPI assigned

Dec 29, 2017

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Rio Rancho Family Counseling Center, LLC

  • Marriage & Family Therapist
  • Rio Rancho, NM
  • NPI 1780125989
  NPD (past)

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1750898797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 FUEGO SAGRADO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055114",
            "telephone_number": "505-501-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 RIO RANCHO DR NE STE 205",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241456",
            "telephone_number": "505-814-1460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2019 Galisteo St",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875052143",
            "country_code": "US",
            "telephone_number": "505-501-4270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "LOUISA",
        "middle_name": "BIDWELL",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "0188861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Marriage & Family Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.