SANTA CLARA PUEBLO
NPI 1407147994
Counselor in Espanola, NM

NPI Status: Active since May 02, 2011

Contact Information

360 FOG ROAD
ESPANOLA, NM
ZIP 87532
Phone: (505) 753-7326

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  • Organization
  • Counselor

About SANTA CLARA PUEBLO

This page provides the complete NPI Profile along with additional information for Santa Clara Pueblo, a provider established in Espanola, New Mexico operating as a Counselor. The healthcare provider is registered in the NPI registry with number 1407147994 assigned on May 2011. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Joseph Bruce Tafoya (Lt. Governor)

NPI
1407147994
Provider Name
SANTA CLARA PUEBLO
Entity Type
Organization
Location Address
360 FOG ROAD ESPANOLA, NM 87532
Location Phone
(505) 753-7326
Mailing Address
P.O. BOX 580 ESPANOLA, NM 87532
Mailing Phone
(505) 753-7326
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-02-2011
Last Update Date
05-02-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JOSEPH BRUCE TAFOYA

Authorized Official Title
LT. GOVERNOR
Authorized Official Phone
(505) 753-7326

Reviews for SANTA CLARA PUEBLO

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1407147994
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24072414918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 0 + 7 + 2 + 4 + 1 + 4 + 9 + 1 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1407147994 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306905104MRS. JESSIE JEAN MACKENZIE LMFT
Individual
Marriage & Family Therapist360 FOG ROAD
ESPANOLA, NM 87532
(505) 692-6315
1306242474 MEREDITH BACA LPCC, LPC
Individual
Counselor (Mental Health)360 FOG ROAD
ESPANOLA, NM 87532
(210) 862-1037

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407147994, enumerated in the NPI registry as an "organization" on May 02, 2011

The provider is located at 360 Fog Road Espanola, Nm 87532 and the phone number is (505) 753-7326

This medical organization specializes in Counselor with taxonomy code 101Y00000X

This NPI record was last updated on May 02, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.