Active NPI
Luna Counseling LLC
- Community/Behavioral Health Agency
- Santa Fe, NM
National Provider Identifier
1770901506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 0188661
- Legal business name
- LUNA COUNSELING LLC
- Practice address
- 1421 Luisa St
Santa Fe, NM 87505-4073 - Phone
- (505) 310-1876
- NPI assigned
- Mar 29, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lorri J Ballard, LPCC
- Title
- Clinical Mental Health Counselor
- Phone
- (505) 310-1876
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 0188661 | NM | Primary |
Addresses
Primary practice location
1421 Luisa St
Santa Fe, NM 87505-4073
Mailing address
1421 Luisa St Ste O
Santa Fe, NM 87505-4073
Phone (505) 310-1876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1421 Luisa St
Santa Fe, NM 87505
Phone (505) 465-9360
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Santa Fe, NM
- NPI 1295105443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492473600000",
"number": "1770901506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 LUISA ST STE O",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054073",
"telephone_number": "505-310-1876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 LUISA ST",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054073",
"telephone_number": "505-310-1876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUNA COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-29",
"last_updated": "2017-04-18",
"status": "A",
"authorized_official_last_name": "BALLARD",
"authorized_official_first_name": "LORRI",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CLINICAL MENTAL HEALTH COUNSELOR",
"authorized_official_telephone_number": "505-310-1876",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NM",
"license": "0188661",
"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 Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.