En Thea LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EN THEA LLC

Practice address

4 San Fransicso Street
#377
Ranchos de Taos, NM 87557

Phone

(575) 224-2085

Fax

(575) 224-6870

NPI assigned

Oct 13, 2026

Last updated

Oct 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marisa Laura C de Baca, LCSWNPI 1356020291

Title

Owner

Phone

(505) 221-2644

Specialties & licenses 1

Addresses

Locations

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.

• Marisa C de Baca, LCSW

  • Clinical Social Worker
  • Taos, NM
  • NPI 1356020291
  NPD (past) Authorized official

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1114822681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SAN FRANCISCO ST UNIT 377",
            "city": "RANCHOS DE TAOS",
            "state": "NM",
            "postal_code": "875574016",
            "telephone_number": "505-221-2644",
            "fax_number": "575-224-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SAN FRANSICSO STREET",
            "address_2": "#377",
            "city": "RANCHOS DE TAOS",
            "state": "NM",
            "postal_code": "87557",
            "telephone_number": "575-224-2085",
            "fax_number": "575-224-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EN THEA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "C DE BACA",
        "authorized_official_first_name": "MARISA",
        "authorized_official_middle_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-221-2644",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Layla Sadie Dean
• Shania Deherrera
• Anne E Delling, CMT
• Discipleship Counseling and Consulting Services LLC.
• Don Zablosky, LPC, LMFT (Casa Linda Wellness Associates)
• Rebecca Ford
• Roxanne George, PH.D., LMFT, EMDR-C
• Elizabeth Gilbert, LMT
• Evelyn Deann Hall, LPCC
• Allison Marie Hardy

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ranchos de Taos, NM
• Providers in Ranchos de Taos, NM by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; 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.