Healthcare Provider Details

I. General information

NPI: 1548477615
Provider Name (Legal Business Name): GREGORY ALAN MAPES MA LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

546 HARKLE RD STE C
SANTA FE NM
87505
US

IV. Provider business mailing address

546 HARKLE RD STE C
SANTA FE NM
87505
US

V. Phone/Fax

Practice location:
  • Phone: 505-988-5539
  • Fax:
Mailing address:
  • Phone: 505-988-5539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC1303
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberLPCC1303
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: