Holly Davisborrero, LMFT, LMHC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

CMH0202291 Issued in NM

Practice address

826 Camino de Monte Rey Ste A6
Santa Fe, NM 87505-3961

Phone

(206) 660-4444

NPI assigned

Jun 23, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1538738539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 SPRING ST # 228",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982508058",
            "telephone_number": "206-660-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 CAMINO DE MONTE REY STE A6",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053961",
            "telephone_number": "206-660-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISBORRERO",
        "first_name": "HOLLY",
        "credential": "LMFT, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NM",
            "license": "CMH0202291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "holly@hollydavisborrero.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "685 Spring St # 228",
            "city": "Friday Harbor",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982508058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Martha Walter Davis, LPCC
• Phillip Roman Davis, PHARMD
• Tammy Davis
• Teresa Davis
• Wayne Davis
• Daybreak Councelors, LLC (Daybreak Counselors)
• Daybreak Counseling, Inc.
• Anna-Maria Alicia De Costa, MD, PHD
• Grace De Gruccio
• Denise De la Cruz

• Counseling Psychologist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Counseling Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.