Organization Active NPI

Morning Star Family Therapy, LLC

  • Mental Health Counselor
  • Santa Fe, NM
National Provider Identifier
1114224102
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0114111 Issued in NM
Legal business name
MORNING STAR FAMILY THERAPY, LLC
Practice address
1213 Don Gaspar Ave
Santa Fe, NM 87505-0625
Phone
(505) 577-1025
NPI assigned
Feb 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Authorized official

Name
Heidi Eynon, LPCCNPI 1508925389
Title
Therapist
Phone
(505) 577-1025

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 0114111 NM Primary

Addresses

Primary practice location

1213 Don Gaspar Ave
Santa Fe, NM 87505-0625

Mailing address

PO Box 22092
Santa Fe, NM 87502-2092
Phone (505) 577-1025

Other identifiers 1

IdentifierTypeStateIssuer
54580781MedicaidNM

National Provider Directory

National Provider Directory

Locations

1213 Don Gaspar Ave
Santa Fe, NM 87505
Phone (505) 577-1025

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1114224102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22092",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875022092",
            "telephone_number": "505-577-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 DON GASPAR AVE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875050625",
            "telephone_number": "505-577-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNING STAR FAMILY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "EYNON",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "505-577-1025",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0114111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54580781",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.