PUEBLO DE SAN ILDEFONSO NPI 1184208225

NPI Information

  • NPI: 1184208225
  • Provider Name: PUEBLO DE SAN ILDEFONSO
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 2 TUNYO PO
    SANTA FE, NM
    ZIP 87506
  • Phone: (505) 455-2395

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NPI Details

PUEBLO DE SAN ILDEFONSO is a mental health counselor in Santa Fe, NM. PUEBLO DE SAN ILDEFONSO NPI is 1184208225. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2 TUNYO PO
SANTA FE, NM
ZIP 87506-258
Phone: (505) 455-2395

The provider's authorized official is Troy Campbell .
The authorized official title is Director Health And Human Services and has the following contact phone number (505) 692-5943.

The enumeration date for this NPI number is 5/5/2021 and was last updated on 3/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1172V00000XCommunity Health WorkerNo
2251B00000XCase ManagementNo
3251S00000XCommunity/Behavioral HealthNo
4261QC1500XClinic/CenterCommunity HealthNo
5261QP0905XClinic/CenterPublic Health, State or LocalNo
6101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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