NPIMap

Organization Active NPI

Pastoral Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Fe, NM
National Provider Identifier
1871509554
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
39994 Issued in NM
Legal business name
PASTORAL COUNSELING CENTER
Practice address
1533 S Saint Francis Dr
Suite E
Santa Fe, NM 87505-4032
Phone
(505) 988-4131
Fax
(505) 992-6145
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David P Dennedy-Frank, PH.D.
Title
Executive Director
Phone
(505) 988-4131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 39994 NM Primary

Addresses

Primary practice location

1533 S Saint Francis Dr
Suite E
Santa Fe, NM 87505-4032

Mailing address

1533 S Saint Francis Dr
Suite E
Santa Fe, NM 87505-4032
Phone (505) 988-4131

Other identifiers 1

IdentifierTypeStateIssuer
A 1096MedicaidNM

National Provider Directory

National Provider Directory

Locations

1533 S Saint Francis Dr
Ste E
Santa Fe, NM 87505
Phone (505) 988-4131

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871509554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 S SAINT FRANCIS DR",
            "address_2": "SUITE E",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054032",
            "telephone_number": "505-988-4131",
            "fax_number": "505-992-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 S SAINT FRANCIS DR",
            "address_2": "SUITE E",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054032",
            "telephone_number": "505-988-4131",
            "fax_number": "505-992-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASTORAL COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENNEDY-FRANK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-988-4131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NM",
            "license": "39994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A 1096",
            "state": "NM"
        }
    ],
    "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 Aug 22, 2020; 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.