Interweave LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

INTERWEAVE LLC

Practice address

2100 Paseo Ponderosa
Santa Fe, NM 87501-6319

Phone

(541) 306-8728

NPI assigned

Sep 13, 2024

Organization subpart

No

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

Authorized official

Name

Lou Duran

Title

Credentialing and Billing

Phone

(505) 270-3966

Specialties & licenses 2

Addresses

Practitioners 1

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

• Rene Tricou, LPCC

  • Counselor
  • Santa Fe, NM
  • NPI 1114396058
  NPD

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1881421931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 PASEO PONDEROSA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875016319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PASEO PONDEROSA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875016319",
            "telephone_number": "541-306-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERWEAVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "DURAN",
        "authorized_official_first_name": "LOU",
        "authorized_official_title_or_position": "CREDENTIALING AND BILLING",
        "authorized_official_telephone_number": "505-270-3966"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.