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ROBERT HENNELLY MA
NPI 1942415575
Counselor - Professional in Santa Fe, NM

Active since May 14, 2007Opted out of Medicare · through Feb 7, 2028
2325 CERRILLOS RD, SANTA FE, NM 87505(505) 438-0010 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert Hennelly Ma NPPES

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

ROBERT HENNELLY MA (NPI 1942415575) is an individual professional provider in Santa Fe, New Mexico, licensed in New Mexico (1539) and active in the NPI registry since May 2007. He has opted out of Medicare through February 7, 2028.

NPPES Registry Identity

NPI1942415575
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameROBERT HENNELLYCredential: MA
Location Address2325 CERRILLOS RDSanta Fe, NM 87505-3373
Mailing Address2325 Cerrillos RdSanta Fe, NM 87505-3373 · (505) 438-0010
Phone(505) 438-0010
Sole ProprietorNo
Enumeration DateMay 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1942415575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NM · 1539
2325 CERRILLOS RD, Santa Fe, NM 87505
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Robert Hennelly Ma 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 February 7, 2024 through February 7, 2028.

Opt-Out Effective DateFebruary 7, 2024
Opt-Out In Effect ThroughFebruary 7, 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.

MATTHEW MARTIN
Case Manager/Care Coordinator
2325 CERRILLOS RD
SANTA FE, NM 87505
Santa Fe County (505) 438-0010
KARI MEREDITH
Case Manager/Care Coordinator
2325 CERRILLOS RD
SANTA FE, NM 87505
Santa Fe County (505) 438-0010
RONALD FOISIA
Case Manager/Care Coordinator
2325 CERRILLOS RD
SANTA FE, NM 87505
Santa Fe County (505) 438-0010
SHAWNA JONES
Case Manager/Care Coordinator
2325 CERRILLOS RD
SANTA FE, NM 87505
Santa Fe County (505) 438-0010
LEAH MARIE LARLEE
Case Management
2325 CERRILLOS RD
SANTA FE, NM 87505
Santa Fe County (505) 438-0010
ROBYN RUFF-WAGNER
Case Manager/Care Coordinator
2325 CERRILLOS RD
SANTA FE, NM 87505
Santa Fe County (505) 438-0010
HEATHER ATSYE
Case Manager/Care Coordinator
2325 CERRILLOS RD
SANTA FE, NM 87505
Santa Fe County (505) 438-0010
NICHOLAS THARPE CRM
Case Manager/Care Coordinator
2325 CERRILLOS RD
SANTA FE, NM 87505
Santa Fe County (505) 438-0010

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 Hennelly's NPI number?

The NPI number for Robert Hennelly is 1942415575. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Robert Hennelly located?

Robert Hennelly practices at 2325 Cerrillos Rd, Santa Fe, NM 87505. The listed phone number is (505) 438-0010.

What is Robert Hennelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Robert Hennelly enrolled in Medicare?

No. Robert Hennelly has opted out of Medicare through February 7, 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 Robert Hennelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.