Individual provider Active NPI

Mary Raske

  • Professional Counselor
  • Santa Fe, NM
National Provider Identifier
1780920850
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0157561 Issued in NM
Practice address
2960 Rodeo Park Dr W
Santa Fe, NM 87505-6351
Phone
(505) 986-9633
NPI assigned
Dec 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X T-0155091 NM
Professional Counselor 101YP2500X 0157561 NM Primary

Addresses

Primary practice location

2960 Rodeo Park Dr W
Santa Fe, NM 87505-6351

Mailing address

2960 Rodeo Park Dr W
Santa Fe, NM 87505-6351
Phone (505) 986-9633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240221001222 NM Practitioner - Mental Health Counselor 5294179941

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wethree LLCGroup PAC ID 3870909724, 3 clinicians

Practice addresses (Care Compare)

36 Aventura Rd
Santa Fe, NM 87508-8744
Phone (505) 603-3091

7 Avenida Vista Grande
Santa Fe, NM 87508-9198
Phone (505) 603-3084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-0155091NMMDMental Health Counselor
0157561NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wethree, LLC Professional CurrentSince Jan 31, 2024 Accepting new patients

Locations

7 Avenida Vista Grande
Ste B7
Santa Fe, NM 87508
Phone (479) 426-8172

7 Avenida Vista Grande
Santa Fe, NM 87508
Phone (505) 421-5325

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1780920850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 RODEO PARK DR W",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056351",
            "telephone_number": "505-986-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 RODEO PARK DR W",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056351",
            "telephone_number": "505-986-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASKE",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-18",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-0155091",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0157561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.