Healthcare Provider Details

I. General information

NPI: 1730039769
Provider Name (Legal Business Name): KATIE MCCABE MA, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4851 PASEO DEL SOL
SANTA FE NM
87507-3027
US

IV. Provider business mailing address

4 PASEO DE ZAMORA
SANTA FE NM
87508-4426
US

V. Phone/Fax

Practice location:
  • Phone: 917-753-0800
  • Fax:
Mailing address:
  • Phone: 917-753-0800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCTB-2025-0916
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: