ROBERT KEVIN HENNELLY, LPPC, LLC
NPI 1073103552
Clinic/Center - Mental Health (Including Community Mental Health Center) in Santa Fe, NM

Active since January 19, 2021
2205 MIGUEL CHAVEZ RD STE F, SANTA FE, NM 87505(505) 629-7108 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert Kevin Hennelly, Lppc, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT KEVIN HENNELLY, LPPC, LLC (NPI 1073103552) is a healthcare organization registered as a mental health (including community mental health center) in Santa Fe, New Mexico and active in the NPI registry since January 2021. The organization lists Robert K Hennelly, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1073103552
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameROBERT KEVIN HENNELLY, LPPC, LLC
Location Address2205 MIGUEL CHAVEZ RD STE FSanta Fe, NM 87505-1111
Mailing Address2916 Calle DerechaSanta Fe, NM 87505-6530 · (505) 629-7108
Organization SubpartNo
Authorized OfficialRobert K HennellyPsychotherapist · (505) 629-7108
Enumeration DateJanuary 19, 2021
NPPES CertifiedJanuary 19, 2021
NPI 1073103552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
2205 MIGUEL CHAVEZ RD STE F, Santa Fe, NM 87505

Other Identifiers 1

Medicaid25087827NM

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Kevin Hennelly, Lppc, LLC's NPI number?

The NPI number for Robert Kevin Hennelly, Lppc, LLC is 1073103552. It was assigned to this organization in the NPPES registry on January 19, 2021.

Where is Robert Kevin Hennelly, Lppc, LLC located?

Robert Kevin Hennelly, Lppc, LLC is located at 2205 Miguel Chavez Rd Ste F, Santa Fe, NM 87505. The listed phone number is (505) 629-7108.

What is Robert Kevin Hennelly, Lppc, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Robert Kevin Hennelly, Lppc, LLC was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.