Bosque Therapy LLC

Primary specialty

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

Legal business name

BOSQUE THERAPY LLC

Practice address

2304 Calle Brocha
Santa Fe, NM 87505-5272

Phone

(651) 295-3866

NPI assigned

May 22, 2025

Organization subpart

No

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

Authorized official

Name

Matthew AndriescuNPI 1427787431

Title

Owner

Phone

(651) 295-3866

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 1

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

• Matthew Andriescu, LCSW

  • Clinical Social Worker
  • Santa Fe, NM
  • NPI 1427787431
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1295528396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 CALLE BROCHA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055272",
            "telephone_number": "651-295-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 CALLE BROCHA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055272",
            "telephone_number": "651-295-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSQUE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "ANDRIESCU",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-295-3866"
    },
    "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": []
}

• Michelle M Born, BMS
• Tina Bornscheuer, PMHNP, FNP
• Anna Borowyj, LPCC
• Tyra Jazmin Borrego-Lopez
• Nicole Renee Borsberry, LMHC
• Noah Boswell, LCSW
• Rosvita N.a. Botkin, PH.D., LMHC.,LPAT.,
• Ellen Botsian
• Patricia Bott, PT
• Francesca Rose Bottos, MA, LPCC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Santa Fe, NM
• Providers in Santa Fe, 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 May 22, 2025; 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.

Verify at the official NPI Registry.