Active NPI
Mary Raske
- Professional Counselor
- Santa Fe, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0157561
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| T-0155091 | NM | MD | Mental Health Counselor |
| 0157561 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wethree, LLC | Professional | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.