GINA MARIE LETIZIA M.A, LMHC
NPI 1205177664
Counselor - Mental Health in Santa Fe, NM

Active since March 11, 2013Opted out of Medicare · through Apr 3, 2028
2960 RODEO PARK DR W, SANTA FE, NM 87505(505) 986-9633 Get Directions Write a Review

NPPES record last updated: April 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gina Marie Letizia M.a, Lmhc NPPES

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

GINA MARIE LETIZIA M.A, LMHC (NPI 1205177664) is an individual mental health provider in Santa Fe, New Mexico, licensed in New Mexico (0156961) and active in the NPI registry since March 2013. She has opted out of Medicare through April 3, 2028.

NPPES Registry Identity

NPI1205177664
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGINA MARIE LETIZIACredential: M.A, LMHC
Location Address2960 RODEO PARK DR WSanta Fe, NM 87505-6351
Mailing Address2504 Camino EntradaSanta Fe, NM 87507-4851 · (505) 471-5006
Sole ProprietorNo
Enumeration DateMarch 11, 2013
Last NPPES UpdateApril 10, 2017
NPI 1205177664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NM · 0156961
2960 RODEO PARK DR W, Santa Fe, NM 87505

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Gina Marie Letizia M.a, Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 3, 2024 through April 3, 2028.

Opt-Out Effective DateApril 3, 2024
Opt-Out In Effect ThroughApril 3, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
2960 RODEO PARK DR W
SANTA FE, NM 87505
Counselor (Professional)
2960 RODEO PARK DR W
SANTA FE, NM 87505
Case Manager/Care Coordinator
2960 RODEO PARK DR W
SANTA FE, NM 87505
Social Worker (Clinical)
2960 RODEO PARK DR W
SANTA FE, NM 87505
Behavior Analyst
2960 RODEO PARK DR W
SANTA FE, NM 87505
Behavior Analyst
2960 RODEO PARK DR W
SANTA FE, NM 87505
Behavior Analyst
2960 RODEO PARK DR W
SANTA FE, NM 87505
Counselor (Mental Health)
2960 RODEO PARK DR W
SANTA FE, NM 87505

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 Gina Letizia's NPI number?

The NPI number for Gina Letizia is 1205177664. It was assigned to this individual provider in the NPPES registry on March 11, 2013.

Where is Gina Letizia located?

Gina Letizia practices at 2960 Rodeo Park Dr W, Santa Fe, NM 87505. The listed phone number is (505) 986-9633.

What is Gina Letizia's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Gina Letizia enrolled in Medicare?

No. Gina Letizia has opted out of Medicare through April 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Gina Letizia was last updated on April 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.