Provider Type Icon

CHILD COUNSELING CENTER AND PLAY THERAPY INSTITUTE OF NEW MEXICO NPI 1619536141


NPI Information

NPI: 1619536141
Provider Name: CHILD COUNSELING CENTER AND PLAY THERAPY INSTITUTE OF NEW MEXICO
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
1400 MACLOVIA ST STE 1
SANTA FE, NM
ZIP 87505
Phone: (505) 772-0459
Get Directions

CHILD COUNSELING CENTER AND PLAY THERAPY INSTITUTE OF NEW MEXICO is an adolescent and children mental health clinic center in Santa Fe, NM. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. CHILD COUNSELING CENTER AND PLAY THERAPY INSTITUTE OF NEW MEXICO NPI is 1619536141. The provider is registered as an organization entity type.

The provider's business location address is:

1400 MACLOVIA ST STE 1
SANTA FE, NM
ZIP 87505-253
Phone: (505) 772-0459

The provider's authorized official is Susan Bienvenu .
The authorized official title is Founder and has the following contact phone number (505) 316-1182.

The enumeration date for this NPI number is 6/9/2019 and was last updated on 12/2/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
132055072MEDICAIDNEW MEXICO

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.