Organization Active NPI

Divine Essence Therapy

  • Mental Health Counselor
  • Santa Fe, NM
National Provider Identifier
1417711961
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DIVINE ESSENCE THERAPY
Practice address
5B Rudy Rodriquez Dr
Santa Fe, NM 87508-9220
Phone
(505) 500-4988
NPI assigned
Feb 6, 2024
Last updated
Feb 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Sara Johnson, LPCC, ATRNPI 1144802513
Title
Owner
Phone
(505) 500-4988

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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

5B Rudy Rodriquez Dr
Santa Fe, NM 87508-9220

Mailing address

1704 Llano St Ste B-1486
Santa Fe, NM 87505-5415

National Provider Directory

National Provider Directory

Locations

1704 Llano St
Ste B1486
Santa Fe, NM 87505

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": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1417711961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 LLANO ST STE B-1486",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5B RUDY RODRIQUEZ DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875089220",
            "telephone_number": "505-500-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE ESSENCE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-500-4988",
        "authorized_official_credential": "LPCC, ATR"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, 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 Feb 6, 2024; 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.