Individual provider Active NPI

Nilufar Amirazimi, AMFT

  • Marriage & Family Therapist
  • Santa Fe, NM
National Provider Identifier
1932779923
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
CAMF0225241 Issued in NM
Practice address
1640 Old Pecos TRL Ste a
Santa Fe, NM 87505-4777
Phone
(714) 422-6244
NPI assigned
Jun 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X CTL0218011 NM
Marriage & Family Therapist 106H00000X CAMF0225241 NM Primary

Addresses

Primary practice location

1640 Old Pecos TRL Ste a
Santa Fe, NM 87505-4777

Mailing address

1640 Old Pecos TRL Ste a
Santa Fe, NM 87505-4777
Phone (714) 422-6244

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CAMF0225241NMMDMarriage & Family Therapist
CTL0218011NMMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1932779923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 OLD PECOS TRL STE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054777",
            "telephone_number": "714-422-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 OLD PECOS TRL STE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054777",
            "telephone_number": "714-422-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIRAZIMI",
        "first_name": "NILUFAR",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CTL0218011",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "CAMF0225241",
            "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 Dec 13, 2022; 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.