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SAMANTHA L. FERNANDO
NPI 1104275171
Counselor in Pueblo Of Acoma, NM

Active since June 09, 2016
45 PINSBAARI DRIVE, PUEBLO OF ACOMA, NM 87034(505) 552-6661(505) 552-6427 Get Directions Write a Review

NPPES record last updated: June 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha L. Fernando NPPES

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

SAMANTHA L. FERNANDO (NPI 1104275171) is an individual counselor in Pueblo Of Acoma, New Mexico and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1104275171
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSAMANTHA L. FERNANDO
Location Address45 PINSBAARI DRIVEPueblo Of Acoma, NM 87034
Mailing Address45 Pinsbaari DrivePueblo Of Acoma, NM 87034 · (505) 552-6661 · Fax (505) 552-6427
Phone(505) 552-6661
Fax(505) 552-6427
Sole ProprietorNo
Enumeration DateJune 9, 2016
✔ NPI 1104275171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
45 PINSBAARI DRIVE, Pueblo Of Acoma, NM 87034
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS LOJANN E HOOEE LADAC, CADC/ADC
Counselor (Professional)
45 PINSBAARI DRIVE
PUEBLO OF ACOMA, NM 87034
Cibola County (505) 552-6661
SHALYN LEANDRA GARCIA
Case Manager/Care Coordinator
45 PINSBAARI DRIVE
ACOMA, NM 87034
Cibola County (505) 552-6661
LORI ANN VIGIL LSAA
Counselor (Addiction (Substance Use Disorder))
45 PINSBAARI DRIVE
ACOMA, NM 87034
Cibola County (505) 552-6661
ESTHER LORENZO
Case Manager/Care Coordinator
45 PINSBAARI DRIVE
ACOMA, NM 87034
Cibola County (505) 552-6661
JASON J. JOHNSON
Case Manager/Care Coordinator
45 PINSBAARI DRIVE
ACOMA, NM 87034
Cibola County (505) 552-6661
PUEBLO OF ACOMA
Community/Behavioral Health
45 PINSBAARI DRIVE
ACOMA, NM 87034
Cibola County (505) 552-6661
MS. MATILDA BEGAY LSAA
Counselor (Addiction (Substance Use Disorder))
45 PINSBAARI DRIVE
ACOMA, NM 87034
Cibola County (505) 552-6661
PHILLIP GARCIA
Case Manager/Care Coordinator
45 PINSBAARI DRIVE
ACOMA, NM 87034
Cibola County (505) 552-6661

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 Samantha Fernando's NPI number?

The NPI number for Samantha Fernando is 1104275171. It was assigned to this individual provider in the NPPES registry on June 9, 2016.

Where is Samantha Fernando located?

Samantha Fernando practices at 45 Pinsbaari Drive, Pueblo Of Acoma, NM 87034. The listed phone number is (505) 552-6661.

What is Samantha Fernando's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Samantha Fernando was last updated on June 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.