Maqueita Eleazer, MA, LPAT, ATR-BC

Primary specialty

Art TherapistTaxonomy code 221700000X

License

CTB-2023-0073 Issued in NM

Practice address

1919 5TH St Ste O
Santa Fe, NM 87505-6012

Phone

(505) 913-1641

NPI assigned

Jan 16, 2021

Last updated

Nov 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maq Ele', LLC

  dba Black Canvas Wholistic Therapy

  • Art Therapist
  • Santa Fe, NM
  • NPI 1669173035

  Counselor

  NPD Authorized official
• Heartspace New Mexico LLC

  • Community/Behavioral Health Agency
  • Santa Fe, NM
  • NPI 1780430181
  NPD (past)

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

{
    "created_epoch": "1610755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1346839040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S MEADOWS RD UNIT 435",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073680",
            "telephone_number": "505-913-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 5TH ST STE O",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056012",
            "telephone_number": "505-913-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELEAZER",
        "first_name": "MAQUEITA",
        "credential": "MA, LPAT, ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-16",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NM",
            "license": "CTB-2023-0073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eldorado Art Therapy and Counseling
• Eldorado Audiology and Hearing Center
• Eldorado Family Health LLC
• Eldorado Physical Therapy PC
• Tara Eldridge, LCSW
• Ellen Elgart, LISW
• Julia Elgatian Romero, BMS
• Jada Elias, RBT
• Elisabeth Barkey MD Inc
• Elizabeth a. Buck (Journey Guidance Services)

• Art Therapist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Art Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.