Active NPI
Nancy Haverkos, LPCC
- Professional Counselor
- Santa Fe, NM
National Provider Identifier
1982779211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3364
- Practice address
- 1925 Aspen Dr Suite 602 a
Santa Fe, NM 87505 - Phone
- (505) 982-0085
- NPI assigned
- Nov 21, 2006
- 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 | 3364 | NM | Primary |
Addresses
Primary practice location
1925 Aspen Dr Suite 602 a
Santa Fe, NM 87505
Mailing address
22 Aventura Rd
Santa Fe, NM 87508
Phone (505) 982-0085
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240502000231 | NM | Practitioner - Mental Health Counselor | 0143671560 | Practice locations: Santa Fe, NM |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
132 Sereno Dr
Santa Fe, NM 87501-1534
Phone (505) 690-5484
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3364 | NM | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1982779211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 AVENTURA RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87508",
"telephone_number": "505-982-0085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 ASPEN DR SUITE 602 A",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87505",
"telephone_number": "505-982-0085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVERKOS",
"first_name": "NANCY",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "3364",
"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 Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.