Open Access Video Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

OPEN ACCESS VIDEO COUNSELING LLC

Practice address

2074 Galisteo St Ste B4
Santa Fe, NM 87505-2157

Phone

(505) 557-6769

Fax

(866) 593-5859

NPI assigned

Sep 24, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Rosalie Deryan

Title

Co-Owner

Phone

(505) 557-6769

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Milliken, LMFT, LPCC

  • Mental Health Counselor
  • Santa Fe, NM
  • NPI 1679726822
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786838400000",
    "number": "1861163271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 S SAINT FRANCIS DR STE 1D",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057004",
            "telephone_number": "505-557-6769",
            "fax_number": "866-593-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 GALISTEO ST STE B4",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052157",
            "telephone_number": "505-557-6769",
            "fax_number": "866-593-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ACCESS VIDEO COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2026-08-16",
        "certification_date": "2026-08-16",
        "status": "A",
        "authorized_official_last_name": "DERYAN",
        "authorized_official_first_name": "ROSALIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "505-557-6769",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.