NPIMap

Organization Active NPI

Guided Growth Therapy, LLC

  • Counselor
  • Los Lunas, NM
National Provider Identifier
1073343760
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
GUIDED GROWTH THERAPY, LLC
Practice address
959 Highway 314 SW Ste B
Los Lunas, NM 87031-7457
Phone
(505) 850-7823
NPI assigned
Aug 6, 2024
Last updated
Aug 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Teddie Chambers, LPCCNPI 1184222507
Title
Owner
Phone
(505) 239-3340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

959 Highway 314 SW Ste B
Los Lunas, NM 87031-7457

Mailing address

959 Highway 314 SW Ste B
Los Lunas, NM 87031-7457
Phone (505) 850-7823

National Provider Directory

National Provider Directory

Locations

959 Highway 314 SW
Ste B
Los Lunas, NM 87031
Phone (505) 239-3340

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1073343760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 HIGHWAY 314 SW STE B",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870317457",
            "telephone_number": "505-850-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 HIGHWAY 314 SW STE B",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870317457",
            "telephone_number": "505-850-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDED GROWTH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "TEDDIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-239-3340",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Lunas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.