NPIMap

Organization Active NPI

Santa Fe Integrative Therapy

  • Multi-Specialty Clinic/Center
  • Santa Fe, NM
National Provider Identifier
1669093241
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SANTA FE INTEGRATIVE THERAPY
Practice address
1640 Calle Medico Suite E
Santa Fe, NM 87505-4777
Phone
(928) 202-8173
NPI assigned
May 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Authorized official

Name
Ms. Dana Tsyconyea Simmons, LMHC, ATR-P,LMT,CCHT
Title
President
Phone
(928) 202-8173

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Art TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 221700000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1640 Calle Medico Suite E
Santa Fe, NM 87505-4777

Mailing address

1640 Old Pecos TRL Ste E
Santa Fe, NM 87505-4777
Phone (928) 202-8173

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SFIntegrativetherapy@protonmail.com

National Provider Directory

National Provider Directory

Locations

1640 Calle Medico
Ste E
Santa Fe, NM 87505
Phone (505) 386-1383

1640 Old Pecos Trl
Ste E
Santa Fe, NM 87505
Phone (505) 386-1380

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1669093241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 OLD PECOS TRL STE E",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054777",
            "telephone_number": "928-202-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 CALLE MEDICO SUITE E",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054777",
            "telephone_number": "928-202-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE INTEGRATIVE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "TSYCONYEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-202-8173",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC, ATR-P,LMT,CCHT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SFIntegrativetherapy@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "1640 Calle Medico Suite E",
            "city": "Santa Fe",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875054777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 5, 2020; 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.