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SANTA CLARA PUEBLO
NPI 1407147994
Counselor in Espanola, NM

Active since May 02, 2011
360 FOG ROAD, ESPANOLA, NM 87532(505) 753-7326 Get Directions Write a Review

NPPES record last updated: May 2, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Santa Clara Pueblo NPPES

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

SANTA CLARA PUEBLO (NPI 1407147994) is a healthcare organization registered as a counselor in Espanola, New Mexico and active in the NPI registry since May 2011. The organization lists Joseph Bruce Tafoya, Lt. Governor, as its authorized official.

NPPES Registry Identity

NPI1407147994
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameSANTA CLARA PUEBLO
Location Address360 FOG ROADEspanola, NM 87532
Mailing AddressP.o. Box 580Espanola, NM 87532 · (505) 753-7326
Phone(505) 753-7326
Organization SubpartNo
Authorized OfficialJoseph Bruce TafoyaLt. Governor · (505) 753-7326
Enumeration DateMay 2, 2011
✔ NPI 1407147994 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.
360 FOG ROAD, Espanola, NM 87532
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MEREDITH BACA LPCC, LPC
Counselor (Mental Health)
360 FOG ROAD
ESPANOLA, NM 87532
Rio Arriba County (210) 862-1037
MRS. JESSIE JEAN MACKENZIE LMFT
Marriage & Family Therapist
360 FOG ROAD
ESPANOLA, NM 87532
Rio Arriba County (505) 692-6315

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 Santa Clara Pueblo's NPI number?

The NPI number for Santa Clara Pueblo is 1407147994. It was assigned to this organization in the NPPES registry on May 2, 2011.

Where is Santa Clara Pueblo located?

Santa Clara Pueblo is located at 360 Fog Road, Espanola, NM 87532. The listed phone number is (505) 753-7326.

What is Santa Clara Pueblo'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 Santa Clara Pueblo was last updated on May 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.