Laurissa Bustillos LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

T-0193001 Issued in NM

Legal business name

LAURISSA BUSTILLOS LLC

Practice address

2221 Rio Grande Blvd NW
Albuquerque, NM 87104-2529

Phone

(575) 649-4880

NPI assigned

Nov 24, 2017

Organization subpart

No

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

Authorized official

Name

Laurissa BustillosNPI 1871007138

Title

Therapist

Phone

(575) 649-4880

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.

• Laurissa Bustillos, MS

  • Marriage & Family Therapist
  • Santa Fe, NM
  • NPI 1871007138
  NPD Authorized official

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

{
    "created_epoch": "1511481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511481600000",
    "number": "1407360761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 REMINGTON RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880112513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 RIO GRANDE BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871042529",
            "telephone_number": "575-649-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURISSA BUSTILLOS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-24",
        "last_updated": "2017-11-24",
        "status": "A",
        "authorized_official_last_name": "BUSTILLOS",
        "authorized_official_first_name": "LAURISSA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "575-649-4880"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "T-0193001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey William Laurenzo, FNP-C
• Genevieve S Lauria
• Laurie Mendiola, CNP,LLC (Laurie J. Mendiola)
• Laurie Ross-Brennan & Associates PA
• Holland Nell Laurin, PA-C
• Marion Lauritzen, SLP
• Jose Alfredo Lavadie, CPSW
• Christina Renee Lavail
• Lori Ann Lavasek, LCSW
• Malinda Lavelle, LMHC

• Community/Behavioral Health Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2017; 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.