Individual provider Active NPI

Rebecca M. Wright, MA LPCC

  • Mental Health Counselor
  • Santa Fe, NM
National Provider Identifier
1982705208
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0075651 Issued in NM
Practice address
1925 Aspen Dr
Suite 702B
Santa Fe, NM 87505-5459
Phone
(505) 603-2622
Fax
(505) 473-0260
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0075651 NM Primary

Addresses

Primary practice location

1925 Aspen Dr
Suite 702B
Santa Fe, NM 87505-5459

Mailing address

1550 Avenida de Las America
Santa Fe, NM 87507-5079
Phone (505) 603-2622

Other identifiers 1

IdentifierTypeStateIssuer
10230751MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • 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
I20240621002971 NM Practitioner - Mental Health Counselor 2466995113 Practice locations: Santa Fe, NM

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1925 Aspen Dr
Suite 702B
Santa Fe, NM 87505-5480
Phone (505) 603-2622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Lake Counseling LLC PastSince Feb 25, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1982705208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 AVENIDA DE LAS AMERICA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875075079",
            "telephone_number": "505-603-2622",
            "fax_number": "505-473-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 ASPEN DR",
            "address_2": "SUITE 702B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055459",
            "telephone_number": "505-603-2622",
            "fax_number": "505-473-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "REBECCA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "MA LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0075651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10230751",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.