MEDICARE: STORIED SELF COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1619804671
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STORIED SELF COUNSELING

Provider Business Mailing Address
First Line	:	409 ALEJANDRO ST
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87501-2379
Country	:	US
Telephone Number	:	207-233-3169
Fax Number	:

Provider Business Practice Location Address
First Line	:	409 ALEJANDRO ST
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87501-2379
Country	:	US
Telephone Number	:	207-233-3169
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VANESSA TORRES MCGOVERN
Credential	:	LPCC
Telephone Number	:	207-233-3169

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

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Directions to “STORIED SELF COUNSELING ” Practice Location

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