Individual provider Active NPI

Michele Pimenta Wolf, LMFT

  • Marriage & Family Therapist
  • Santa Fe, NM
National Provider Identifier
1912390360
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
CMF0218401 Issued in NM
Practice address
4730 Beckner Road
Santa Fe, NM 87507
Phone
(505) 989-4500
NPI assigned
Mar 10, 2015
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NLC.0106001 CO
Marriage & Family Therapist 106H00000X CMF0218401 NM Primary
Massage Therapist 225700000X MT. 0016965 CO

Addresses

Primary practice location

4730 Beckner Road
Santa Fe, NM 87507

Mailing address

4258 Cactus Flower LN
Santa Fe, NM 87507-0822
Phone (720) 341-0856

Other names 1

  • Michele Pimenta Wolf Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250408001989 NM Practitioner - Marriage and Family Therapist 0345764619 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NLC.0106001COMDMental Health Counselor
CMF0218401NMMDMarriage & Family Therapist
MT. 0016965COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michele Wolf Psychotherapy LLC Mental Health CurrentSince Feb 3, 2025 Accepting new patients
Presbyterian Medical Services CurrentSince Sep 5, 2023 Accepting new patients
Presbyterian Medical Services PastSince Sep 5, 2023 Accepting new patients

Locations

2504 Camino Entrada
Santa Fe, NM 87507
Phone (505) 216-2727

4730 Beckner Rd
Santa Fe, NM 87507
Phone (505) 989-4500

Organizations & group practices 3

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": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1912390360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4258 CACTUS FLOWER LN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875070822",
            "telephone_number": "720-341-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 BECKNER ROAD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87507",
            "telephone_number": "505-989-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "MICHELE",
        "middle_name": "PIMENTA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-10",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "NLC.0106001",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CMF0218401",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT. 0016965",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "WOLF",
            "middle_name": "PIMENTA",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.