Anna G Pell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0142081 Issued in NM

Practice address

2325 Cerrillos Rd
Santa Fe, NM 87505-3373

Phone

(505) 438-0010

Fax

(505) 438-6011

NPI assigned

Feb 13, 2007

Last updated

Jan 18, 2012By the provider in NPPES

Sex

Female

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

Opted out of Medicare

Yes, effective Jul 1, 2024 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gold Soul Counseling LLC

  dba Gold Soul Counseling

  • Mental Health Counselor
  • Rio Rancho, NM
  • NPI 1972250173
  Authorized official Same address or phone
• The Life Link

  • Community/Behavioral Health Agency
  • Santa Fe, NM
  • NPI 1841332400
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1982746269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 CAMINO RANCHO SIRINGO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051706",
            "telephone_number": "505-699-2866",
            "fax_number": "505-438-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 CERRILLOS RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053373",
            "telephone_number": "505-438-0010",
            "fax_number": "505-438-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELL",
        "first_name": "ANNA",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0142081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Pearlman, PH.D.
• Lori D Pearson Kramer, CNM
• Meredith Carol Pearson
• Patricia Peck, DDS
• Robert W Pederson, MD
• Austin Peltier, AP
• Martha Pena-Nazario, LPN
• Michael Andrew Pena, LMSW
• Lisa Pence, L.I.S.W.
• Amy Pendergraft, FNP

• 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 Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.