Earth and Sky Psychotherapy LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

EARTH AND SKY PSYCHOTHERAPY LLC

Practice address

1532 Cerrillos Rd # C1
Santa Fe, NM 87505-3512

Phone

(206) 851-2082

NPI assigned

May 8, 2024

Last updated

May 8, 2024By 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

Emily Fossum, LPCCNPI 1528501079

Title

Owner & Psychotherapist

Phone

(206) 851-2082

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, and the practitioner matching its NPPES authorized official.

• Emily Fossum, LPCC

  • Professional Counselor
  • Espanola, NM
  • NPI 1528501079
  NPD Authorized official

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1629826250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 CERRILLOS RD # C1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053512",
            "telephone_number": "206-851-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 CERRILLOS RD # C1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053512",
            "telephone_number": "206-851-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARTH AND SKY PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "FOSSUM",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER & PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "206-851-2082",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Diane Earls, PA-C
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• Layla Earnest, LMSW
• Richard Earnest
• Earth Spirit Awakenings (dba Mesa Vista Wellness)
• Earth Spirit Awakenings LLC (Mesa Vista Wellness)
• Jaime Catherine Easchief, M.D.
• East Tao Corporation
• Jade Easton Grey, OMD LAC NCCAOM

• Adult Mental Health Clinic/Center in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Adult Mental Health Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.