Individual provider Active NPI

Amy Sidd Reich, LPCC

  • Mental Health Counselor
  • Santa Fe, NM
National Provider Identifier
1861622193
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CCMH0225681 Issued in NM
Practice address
4001 Office Court Dr
Suite 102
Santa Fe, NM 87507-4929
Phone
(505) 983-8225
Fax
(505) 930-5427
NPI assigned
Jul 21, 2009
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CCMH0225681 NM Primary

Addresses

Primary practice location

4001 Office Court Dr
Suite 102
Santa Fe, NM 87507-4929

Mailing address

214 Lugar de Monte Vis
Santa Fe, NM 87505-8861
Phone (505) 690-9590

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

LicenseStateTypeSpecialty
CCMH0225681NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Groundwork Therapy LLC Mental Health CurrentSince Jul 31, 2023 Accepting new patients
Earth Spirit Awakenings LLC PastSince Dec 24, 2016 Accepting new patients

Locations

1418 Luisa St
Ste 5A
Santa Fe, NM 87505
Phone (505) 795-6868

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.

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1861622193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 LUGAR DE MONTE VIS",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875058861",
            "telephone_number": "505-690-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 OFFICE COURT DR",
            "address_2": "SUITE 102",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074929",
            "telephone_number": "505-983-8225",
            "fax_number": "505-930-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICH",
        "first_name": "AMY",
        "middle_name": "SIDD",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CCMH0225681",
            "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 28, 2023; 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.