Integrative Therapy, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0103251 Issued in NM

Legal business name

INTEGRATIVE THERAPY, LLC

Practice address

128 Grant Ave
Ste 218
Santa Fe, NM 87501-2031

Phone

(505) 795-8190

NPI assigned

Nov 18, 2009

Organization subpart

No

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

Authorized official

Name

Carolyn Burns, LMFTNPI 1972691954

Title

Proprietor

Phone

(505) 795-8190

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn Lorene Burns, LMFT

  • Marriage & Family Therapist
  • Santa Fe, NM
  • NPI 1972691954
  NPD (past) Authorized official

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1558698282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 VUELTA ROBLE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011625",
            "telephone_number": "505-795-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 GRANT AVE",
            "address_2": "STE 218",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012031",
            "telephone_number": "505-795-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "505-795-8190",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "0103251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80473024",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Marriage & Family Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.