Shane Ward, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CTB-2024-0538 Issued in NM

Practice address

4001 Office Court Dr Ste 602
Santa Fe, NM 87507-4929

Phone

(505) 207-8929

NPI assigned

Jul 23, 2024

Last updated

Jul 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1881422616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 OFFICE COURT DR STE 602",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074929",
            "telephone_number": "505-207-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 OFFICE COURT DR STE 602",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074929",
            "telephone_number": "505-207-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "SHANE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2024-0538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waltor Surgical Assisting (santa fe surgical assisting)
• Waltor Surgical Assisting (santa fe surgical assisting)
• Caroline Elizabeth Wanner, OD
• Caroline Ward
• John E Ward Jr., MD
• Warren G. Hoffman D.D.S. P.a.
• Darlene Warren
• Stuart Arthur Warren
• Susan Warren, RN, CDE
• Colleen Kerry Warshawer, ED.S.

• Mental Health Counselor in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.