Active NPI
Mary Emalie Tipton, LMHC
- Professional Counselor
- Santa Fe, NM
National Provider Identifier
1962773754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CTB-2023-0901
- Practice address
- 2055 S Pacheco St
Santa Fe, NM 87505-3997 - Phone
- (505) 702-8112
- NPI assigned
- Jan 25, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CTB-2023-0901 | NM | Primary |
Addresses
Primary practice location
2055 S Pacheco St
Santa Fe, NM 87505-3997
Mailing address
17 Amorak Rd
Ranchos de Taos, NM 87557-8720
Phone (575) 224-1112
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CTB-2023-0901 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Align and Thrive Therapy | Professional | Past | Accepting new patients |
| Trail Ahead Therapy, LLC | Counselor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Ranchos de Taos, NM
- NPI 1336066307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1962773754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 AMORAK RD",
"city": "RANCHOS DE TAOS",
"state": "NM",
"postal_code": "875578720",
"telephone_number": "575-224-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 S PACHECO ST",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875053997",
"telephone_number": "505-702-8112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIPTON",
"first_name": "MARY",
"middle_name": "EMALIE",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-25",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "CTB-2023-0901",
"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 Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.