Active NPI
Youth Shelters
- Community/Behavioral Health Agency
- Santa Fe, NM
National Provider Identifier
1851625784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- M-06966
- Legal business name
- YOUTH SHELTERS
- Practice address
- 5686 Agua Fria St
Santa Fe, NM 87507-9001 - Phone
- (505) 438-0502
- Fax
- (505) 438-0504
- NPI assigned
- Sep 24, 2009
- 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
- Ms. Toni Kuehn, LMSW
- Title
- Program Director
- Phone
- (505) 438-0502
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | M-06966 | NM | Primary |
Addresses
Primary practice location
5686 Agua Fria St
Santa Fe, NM 87507-9001
Mailing address
5686 Agua Fria St
Santa Fe, NM 87507-9001
Phone (505) 438-0502
National Provider Directory
National Provider Directory- Tax ID family
- Youth Shelters
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Social Worker
- Santa Fe, NM
- NPI 1003140658
-
- Case Management Agency
- Santa Fe, NM
- NPI 1366776585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253750400000",
"number": "1851625784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5686 AGUA FRIA ST",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875079001",
"telephone_number": "505-438-0502",
"fax_number": "505-438-0504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5686 AGUA FRIA ST",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875079001",
"telephone_number": "505-438-0502",
"fax_number": "505-438-0504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUTH SHELTERS",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-24",
"last_updated": "2009-09-24",
"status": "A",
"authorized_official_last_name": "KUEHN",
"authorized_official_first_name": "TONI",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "505-438-0502",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NM",
"license": "M-06966",
"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 Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.