Active NPI
Elijah Chong, LPCC, LPC
- Mental Health Counselor
- Santa Fe, NM
National Provider Identifier
1851875082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CMH0202161
- Practice address
- 2325 Cerrillos Rd
Santa Fe, NM 87505-3373 - Phone
- (979) 492-0055
- NPI assigned
- Sep 24, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | T-CTL0198311 | NM | |
| Mental Health Counselor | 101YM0800X | 10487 | LA | |
| Mental Health Counselor | 101YM0800X | CMH0202161 | NM | Primary |
Addresses
Primary practice location
2325 Cerrillos Rd
Santa Fe, NM 87505-3373
Mailing address
405 Sunset St
Santa Fe, NM 87501-1924
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CMH0202161 | NM | MD | Mental Health Counselor |
| T-CTL0198311 | NM | MD | Mental Health Counselor |
| 10487 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Life Link | Current | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Santa Fe, NM
- NPI 1841332400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1851875082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 SUNSET ST",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875011924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 CERRILLOS RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875053373",
"telephone_number": "979-492-0055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHONG",
"first_name": "ELIJAH",
"credential": "LPCC, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-24",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "T-CTL0198311",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "10487",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "CMH0202161",
"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 Jul 10, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.