CHARLES BACA (NPI# 1659563609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659563609 |
| Entity Type | Individual |
| Full Name | CHARLES BACA |
| Credential | LADAC |
| Practice Address |
1441 S Saint Francis Dr Santa Fe NM 87505-4037 |
| Mailing Address |
617 Jackson Ave Apt B Grants NM 87020-2908 |
| Practice Telephone | 5059822271 |
| Practice Fax Number | 5059820620 |
| Mailing Telephone | 5059828870 |
| Mailing Fax Number | 5059820620 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0064141 | NM | Behavioral Health & Social Service Providers |
| Street Address |
1441 S SAINT FRANCIS DR |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-4037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568586832 | Joanne Crout | Social Worker | 1441 S Saint Francis Dr, Santa Fe, NM 87505-4037 | 2007-03-19 |
| 1578715017 | April D Stamper | Counselor | 1441 S Saint Francis Dr, Santa Fe, NM 87505-4037 | 2008-10-15 |
| 1750547519 | Ivy Anna Costello | Counselor | 1441 S Saint Francis Dr, Santa Fe, NM 87505-4037 | 2008-07-31 |
| 1003096264 | Sangre De Cristo Community Health Partnership | Counselor | 1441 S Saint Francis Dr, Santa Fe, NM 87505-4037 | 2007-11-05 |
| 1104015916 | Camille C Wingate | Counselor | 1441 S Saint Francis Dr, Santa Fe, NM 87505-4037 | 2007-10-17 |
| 1104018027 | Terry Tucker | Counselor | 1441 S Saint Francis Dr, Santa Fe, NM 87505-4037 | 2007-08-14 |
| 1912199845 | Mary Curry | Social Worker | 1441 S Saint Francis Dr, Santa Fe, NM 87505-4037 | 2007-08-14 |
| 1861684052 | Nancy Joan Miquelon | Counselor | 1441 S Saint Francis Dr, Santa Fe, NM 87505-4037 | 2007-08-13 |
| 1639361736 | Thomas R. Peterson | Psychologist | 1441 S Saint Francis Dr, Santa Fe, NM 87505-4037 | 2007-08-13 |
| 1144411620 | Lori Ann Goetz | Counselor | 1441 S Saint Francis Dr, Santa Fe, NM 87505-4037 | 2007-08-08 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245865468 | Bonnie Marie Catanach | Counselor | 3136 Jemez Rd, Santa Fe, NM 87507-8004 | 2020-03-09 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1629587035 | Tonya Bowman | Counselor | 39 Prarie Oaks Drive, Santa Fe, TX 77510 | 2017-09-28 |
| 1144740903 | Carlos Gonzales | Counselor | 2000 Saint Michaels Dr Ste 5, Santa Fe, NM 87505-7630 | 2017-06-22 |
| 1437504958 | Kumara Elias Hampton | Counselor | 11 Calle Medico Sweet 4, Santa Fe, NM 87505 | 2016-05-03 |
| 1710324405 | Santa Fe Indian School | Counselor | 1501 Cerrillos Rd, Santa Fe, NM 87505-3521 | 2013-06-04 |
| 1811229164 | Edelmira Franco | Counselor | 2074 Galisteo St Ste B4, Santa Fe, NM 87505-2157 | 2010-02-10 |
| 1093042350 | Juan Blea | Counselor | 2442 Cerrillos Rd # 195, Santa Fe, NM 87505-3262 | 2009-11-06 |
| 1013240746 | Brian Serna | Counselor | 2904 Avenida Alamosa, Santa Fe, NM 87507-0454 | 2009-09-14 |
| 1558539619 | Wendy Goodman | Counselor | 2859 Plaza Rojo, Santa Fe, NM 87507-6521 | 2008-02-12 |
| 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.