Kaytea Hendricks Psychotherapy, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

KAYTEA HENDRICKS PSYCHOTHERAPY, LLC

Practice address

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

Phone

(719) 760-2969

NPI assigned

May 30, 2024

Organization subpart

No

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

Authorized official

Name

Katharine HendricksNPI 1033740881

Title

Self Employed

Phone

(719) 760-2969

Specialties & licenses 1

Addresses

Practitioners 1

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

• Katharine Hope Hendricks, LPCC

  • Counselor
  • Santa Fe, NM
  • NPI 1033740881

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1700626314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 CERRILLOS RD STE C1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053512",
            "telephone_number": "719-760-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 CERRILLOS RD STE C1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053512",
            "telephone_number": "719-760-2969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Mateo Cir N",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875054029",
            "country_code": "US",
            "telephone_number": "719-760-2969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAYTEA HENDRICKS PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_title_or_position": "SELF EMPLOYED",
        "authorized_official_telephone_number": "719-760-2969"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul W Kaufman, M.D.
• Robert Page Kaufman, LCSW/MA
• Carolyn M Kavanagh
• Liam James Kavin, DPT
• Courtney Kayser
• Keadron T Finn, LLC
• Pamela Kear, LCSW
• Gaynl Keefe, D.O.M.
• Joshua Roi Keeler
• Caitlin Keen

• Professional Counselor in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.