MESA VISTA WELLNESS


Address: 2019 Galisteo St, D2, Santa Fe, NM 87505-2143
Phone: 5059838225

MESA VISTA WELLNESS (NPI# 1649629114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649629114
Entity Type Organization
Organization Name MESA VISTA WELLNESS
Practice Address 2019 Galisteo St
D2
Santa Fe
NM 87505-2143
Practice Telephone 5059838225
Mailing Telephone 5059838225
Enumeration Date 2016-06-06
Last Update Date 2016-06-06
Authorized Official Name JONATHAN WALLACH (MENTAL HEALTH COUNSELOR)
Authorized Official Telephone 7208226795
Authorized Official Credential LMHC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 0181511 NM Agencies

Office Location

Street Address 2019 GALISTEO ST
D2
City SANTA FE
State NM
Zip Code 87505-2143

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265434377 Robert L Wartell Dentist 2019 Galisteo St, Ste J2, Santa Fe, NM 87505-2103 2005-06-01
1083149678 Psychotherapy & Pastoral Counseling Associates Clinic/Center 2019 Galisteo St, Suite M1a, Santa Fe, NM 87505-2143 2017-04-20
1528411907 Valerie Jones Counselor 2019 Galisteo St, Santa Fe, NM 87505-2143 2016-07-20
1285086769 Earth Spirit Awakenings Counselor 2019 Galisteo St, Santa Fe, NM 87505-2143 2016-07-07
1568811537 Jonathan Wallach Counselor 2019 Galisteo St, Suite E2, Santa Fe, NM 87505-2143 2016-06-09
1013389238 Julia Gonzalez Counselor 2019 Galisteo St, Suite D-2, Santa Fe, NM 87505-2143 2015-10-27
1134598303 Mindy Mcclung Social Worker 2019 Galisteo St, D2, Santa Fe, NM 87505-2143 2015-09-17
1124401971 Madison Christine Counselor 2019 Galisteo St, Suite E-2, Santa Fe, NM 87505-2143 2015-06-29
1285024745 Amy Griffin Counselor 2019 Galisteo St, Suite E2, Santa Fe, NM 87505-2143 2015-02-04
1891100814 Sastun Family Medicine, LLC Family Medicine 2019 Galisteo St, Suite N9a, Santa Fe, NM 87505-2143 2014-06-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154939031 Enchanted Sky Hospice,llc Hospice Care, Community Based 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 2020-07-16
1700409968 Caa Consulting, LLC Clinic/Center 1448 S St. Francis Drive, Santa Fe, NM 87505 2020-05-22
1104447093 Dana Marie Tsyconyea Simmons Counselor 1640 Calle Medico, Suite E, Santa Fe, NM 87505 2020-05-01
1114574217 Kumara Hampton Therapy, LLC Counselor 11 Calle Medico Suite 4, Santa Fe, NM 87505 2019-08-22
1245886977 Caroline Ward Technician 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 2019-08-19
1205490752 Alyson Yacono Physical Therapist 104 Old Las Vegas Highway, Santa Fe, NM 87505 2019-04-30
1366919649 Allyson Matthews Speech-Language Pathologist Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 2018-10-25
1093280281 Diamond Care Santa Fe LLC Skilled Nursing Facility 635 Harkle Road, Santa Fe, NM 87505 2018-10-04
1972087054 Changing Woman Initiative Advanced Practice Midwife 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 2018-09-24
1154812782 Heart Wing, LLC Social Worker 2724 Alamosa Drive, Santa Fe, NM 87505 2018-05-18
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538771357 Ariane Mahmud-ghazi, LLC Community/Behavioral Health 1604 Young St, Santa Fe, NM 87505-3504 2020-08-21
1255967550 Carrie Eberhardy, Lcsw LLC Community/Behavioral Health 3600 Cerrillos Rd Ste 724e, Santa Fe, NM 87507-2690 2020-03-18
1437701539 Courtney C. Lee Psychotherapy LLC Community/Behavioral Health 1010 Marquez Pl Ste D11, Santa Fe, NM 87505-1724 2019-07-10
1538644133 Jennifer Peres Lcsw LLC Community/Behavioral Health 300 Paseo De Peralta, Santa Fe, NM 87501-5501 2018-09-28
1255818720 Youth Works Community/Behavioral Health 1504 Cerrillos Rd, Santa Fe, NM 87505-3550 2018-07-26
1558856104 Daybreak Counseling, Inc. Community/Behavioral Health 4001 Office Court Dr Ste 403, Santa Fe, NM 87507-4906 2018-06-26
1366949398 Fernandez Counseling, LLC Community/Behavioral Health 117 N Guadalupe St Ste D, Santa Fe, NM 87501-6526 2018-04-06
1124530969 Renee Borsberry Lpcc Lpat Community/Behavioral Health 2723 Paseo De Tularosa, Santa Fe, NM 87505-5801 2017-11-02
1558805895 Neurogenesis Community/Behavioral Health 613 Canyon Rd, Santa Fe, NM 87501-2721 2016-12-06
1891146742 Kamal Therapy Community/Behavioral Health 6442 Cerros Grandes Dr, Santa Fe, NM 87507-1813 2016-06-22
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Competitor

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City SANTA FE
Zip Code 87505

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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