Active NPI
Laura Miller Psychotherapy LLC
- Adult Mental Health Clinic/Center
- Santa Fe, NM
National Provider Identifier
1164108486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- LAURA MILLER PSYCHOTHERAPY LLC
- Practice address
- 1221 S Saint Francis Dr
Santa Fe, NM 87505-4036 - Phone
- (720) 308-7986
- NPI assigned
- Jun 22, 2023
- Last updated
- Jun 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura D Miller, LPCC
- Title
- Owner
- Phone
- (206) 409-7451
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | NU | Primary |
Addresses
Primary practice location
1221 S Saint Francis Dr
Santa Fe, NM 87505-4036
Mailing address
29C Jacona Rd
Santa Fe, NM 87506-1394
Phone (206) 409-7451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1221 S Saint Francis Dr
Santa Fe, NM 87505
Phone (720) 308-7986
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": "1687392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687392000000",
"number": "1164108486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29C JACONA RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875061394",
"telephone_number": "206-409-7451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 S SAINT FRANCIS DR",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054036",
"telephone_number": "720-308-7986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURA MILLER PSYCHOTHERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-22",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "206-409-7451",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.