Active NPI
Cayetana Zamora, CPSW/ CFPSW/EDOO
- Counselor
- Santa Rosa, NM
National Provider Identifier
1811246705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1047 Lake Dr
Santa Rosa, NM 88435-2561 - Phone
- (575) 472-5383
- NPI assigned
- Sep 6, 2012
- Last updated
- Jul 7, 2021
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
1047 Lake Dr
Santa Rosa, NM 88435-2561
Mailing address
1047 Lake Dr
Santa Rosa, NM 88435-2561
Phone (575) 472-5383
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
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.
-
dba Professional Counseling Associates of New Mexico
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Rosa, NM
- NPI 1417370131
-
dba Professional Counseling Associates New Mexico
- Community/Behavioral Health Agency
- Santa Rosa, NM
- NPI 1962580175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625616000000",
"number": "1811246705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1047 LAKE DR",
"city": "SANTA ROSA",
"state": "NM",
"postal_code": "884352561",
"telephone_number": "575-472-5383",
"fax_number": "575-472-5384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1047 LAKE DR",
"city": "SANTA ROSA",
"state": "NM",
"postal_code": "884352561",
"telephone_number": "575-472-5383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMORA",
"first_name": "CAYETANA",
"credential": "CPSW/ CFPSW/EDOO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-06",
"last_updated": "2021-07-07",
"certification_date": "2021-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.