Active NPI
Sara Lisa Kaminski, MAC,MAT,MSP,NCPM
- Mental Health Counselor
- Espanola, NM
National Provider Identifier
1861139065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- T-CTL0223391
- Practice address
- 807 Calle Chamisal
Espanola, NM 87532-2976 - Phone
- (505) 372-4511
- NPI assigned
- May 18, 2022
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | T-CTL0223391 | NM | Primary |
Addresses
Primary practice location
807 Calle Chamisal
Espanola, NM 87532-2976
Mailing address
5 Mogollon CT
Cedar Crest, NM 87008-9521
Phone (505) 227-3094
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-CTL0223391 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chapters LLC | Current | Accepting new patients | |
| Darrins Place Inc | Mental Health | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cedar Crest, NM
- NPI 1568109767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1861139065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MOGOLLON CT",
"city": "CEDAR CREST",
"state": "NM",
"postal_code": "870089521",
"telephone_number": "505-227-3094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 CALLE CHAMISAL",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875322976",
"telephone_number": "505-372-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMINSKI",
"first_name": "SARA",
"middle_name": "LISA",
"credential": "MAC,MAT,MSP,NCPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-18",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "T-CTL0223391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.