PHYLLIS E. LEAVITT (NPI# 1861460594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861460594 |
| Entity Type | Individual |
| Full Name | PHYLLIS E. LEAVITT |
| Credential | M.A. |
| Practice Address |
208 Las Mananitas St Santa Fe NM 87501-1546 |
| Practice Telephone | 5059860756 |
| Practice Fax Number | 5059834638 |
| Mailing Telephone | 5059860756 |
| Mailing Fax Number | 5059834638 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
1301 | NM | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 1835 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 54108730 | 05 |
| Street Address |
208 LAS MANANITAS ST |
| City | SANTA FE |
| State | NM |
| Zip Code | 87501-1546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841775327 | Rasanjana Bhandari | Behavior Technician | 1505 Paseo De Conquistadora, Santa Fe, NM 87501 | 2018-10-01 |
| 1497102172 | New Mexico Neurodiagnostics, LLC | Clinic/Center | 150 Washington Ave., Ste. #201-220, Office 224, Santa Fe, NM 87501 | 2016-05-23 |
| 1831557891 | Jane Berger | Social Worker | 300 Griffin St Ste 213, Santa Fe, NM 87501 | 2016-02-05 |
| 1316325061 | Serenity Wellness Center of Santa Fe, LLC | Counselor | 343 E Palace Ave, Santa Fe, NM 87501 | 2015-05-14 |
| 1902209497 | Mdlive Medical Group Nm LLC | Counselor | 123 Marcy Street, Santa Fe, NM 87501 | 2014-09-29 |
| 1396154183 | Julie Price | Counselor | 1 Montoya Cir, Santa Fe, NM 87501 | 2014-08-06 |
| 1053609487 | Michael Shawn Haner | Acupuncturist | 909 Early St., Santa Fe, NM 87501 | 2011-07-19 |
| 1396045316 | Dana Moore | Counselor | 950 Canyon Rd., Santa Fe, NM 87501 | 2010-10-25 |
| 1720394232 | Susan Nelsen | Social Worker | 118 Huddleson St, Santa Fe, NM 87501 | 2010-08-20 |
| 1033434543 | Anthony R Moya | Social Worker | 501 Franklin Ave Ofc 6, Santa Fe, NM 87501 | 2010-03-29 |
| Find all providers in zip 87501 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178762 | Nancy Mcdonald | Counselor | 1876 Camino Lumbre, Santa Fe, NM 87505-5612 | 2020-06-11 |
| 1922621986 | Wethree | Counselor | 36 Aventura Rd, Santa Fe, NM 87508-8744 | 2020-05-26 |
| 1205466299 | Lorena Alvarez | Counselor | 1621 Vuelta Pl, Santa Fe, NM 87501-2332 | 2020-01-19 |
| 1043701519 | Charmaine Hughes | Counselor | 244 Casados St Apt 4, Santa Fe, NM 87501-2937 | 2018-05-21 |
| 1699278655 | Sophia Lauritsen Lpcc | Counselor | 805 Early St Ste 2, Santa Fe, NM 87505-1607 | 2018-03-15 |
| 1255861209 | Mikahla Kristen Beutler | Counselor | 1421 Luisa St Ste B, Santa Fe, NM 87505-4073 | 2017-06-13 |
| 1245692102 | La Luz Provider Agency LLC | Counselor | 1713 Santa Fe River Rd, Santa Fe, NM 87501-2368 | 2016-03-22 |
| 1508225749 | Youth Shelters and Family Services | Counselor | 5686 B Agua Fria Street, Santa Fe, NM 87507 | 2016-02-16 |
| 1154713543 | Susan Bienvenu | Counselor | 534 Juniper Dr, Santa Fe, NM 87501-1324 | 2015-02-23 |
| 1811385610 | Candida Starr Jones | Counselor | 1704 Llano St # 217b, Santa Fe, NM 87505-5415 | 2014-12-31 |
| Find all providers in SANTA FE | ||||
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| 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.