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CHILD COUNSELING CENTER AND PLAY THERAPY INSTITUTE OF NEW MEXICO
NPI 1619536141
Clinic/Center - Adolescent and Children Mental Health in Santa Fe, NM

Active since June 09, 2019
1400 MACLOVIA ST STE 1, SANTA FE, NM 87505(505) 772-0459 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2019, Jun 9, 2019 (2 updates tracked since 2019).

About Child Counseling Center And Play Therapy Institute Of New Mexico NPPES

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

CHILD COUNSELING CENTER AND PLAY THERAPY INSTITUTE OF NEW MEXICO (NPI 1619536141) is a healthcare organization registered as an adolescent and children mental health in Santa Fe, New Mexico and active in the NPI registry since June 2019. The organization lists Susan Bienvenu, Founder, as its authorized official.

NPPES Registry Identity

NPI1619536141
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameCHILD COUNSELING CENTER AND PLAY THERAPY INSTITUTE OF NEW MEXICO
Location Address1400 MACLOVIA ST STE 1Santa Fe, NM 87505-3253
Mailing Address534 Juniper DrSanta Fe, NM 87501-1324 · (505) 316-1182
Phone(505) 772-0459
Organization SubpartNo
Authorized OfficialSusan BienvenuFounder · (505) 316-1182
Enumeration DateJune 9, 2019
Last NPPES UpdateDecember 2, 20192 updates tracked since enumeration
✔ NPI 1619536141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
1400 MACLOVIA ST STE 1, Santa Fe, NM 87505
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Other Identifiers 1

Medicaid32055072NM

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.

HOLLY ELIZABETH SHAW PH.D., LPC
Counselor (Mental Health)
1400 MACLOVIA ST STE 1
SANTA FE, NM 87505
Santa Fe County (505) 772-0459
KATHERINE SOMERS HALL
Counselor
1400 MACLOVIA ST STE 1
SANTA FE, NM 87505
Santa Fe County (505) 772-0459

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 Child Counseling Center And Play Therapy Institute Of New Mexico's NPI number?

The NPI number for Child Counseling Center And Play Therapy Institute Of New Mexico is 1619536141. It was assigned to this organization in the NPPES registry on June 9, 2019.

Where is Child Counseling Center And Play Therapy Institute Of New Mexico located?

Child Counseling Center And Play Therapy Institute Of New Mexico is located at 1400 Maclovia St Ste 1, Santa Fe, NM 87505. The listed phone number is (505) 772-0459.

What is Child Counseling Center And Play Therapy Institute Of New Mexico's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Child Counseling Center And Play Therapy Institute Of New Mexico was last updated on December 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.