Aspen Vista Therapy, LLC

Primary specialty

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

License

17-00146320 Issued in NM

Legal business name

ASPEN VISTA THERAPY, LLC

Practice address

1691 Galisteo St Ste D
Santa Fe, NM 87505-4781

Phone

(505) 954-1921

Fax

(505) 983-6520

NPI assigned

Aug 18, 2017

Last updated

Sep 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Laurel M Shafter, LCSW

Title

Owner/Operator

Phone

(505) 577-7866

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

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.

• Laurel Lord, LCSW

  • Clinical Social Worker
  • Santa Fe, NM
  • NPI 1245685577
  Medicare reassignment

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1447776695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 GALISTEO ST STE D",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054781",
            "telephone_number": "505-954-1921",
            "fax_number": "505-983-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 GALISTEO ST STE D",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054781",
            "telephone_number": "505-954-1921",
            "fax_number": "505-983-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN VISTA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "SHAFTER",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "505-577-7866",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NM",
            "license": "17-00146320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronit Ashkenazi, L.AC.
• Ashley Setzer Therapy
• Rene Ashtara, DOM
• Aspen Counseling Associates LLC
• Aspen Medical Group LLC
• Kyrsta Astilli, LMHC
• Atalaya Psychotherapy LLC
• Sabrina Atencio
• Stephen V Athens
• Christopher Dean Atkinson, MD

• 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 Sep 10, 2019; 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.