Eagle Rock Therapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EAGLE ROCK THERAPY LLC

Practice address

1608 Cagua Dr NE
Albuquerque, NM 87110-6612

Phone

(323) 627-1469

NPI assigned

Sep 11, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Damaris Robin Martinez, LMFT

Title

Psychotherapist

Phone

(323) 627-1469

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.

• Elizabeth Jane Quill, LCSW

  • Clinical Social Worker
  • Ontario, CA
  • NPI 1205021599

  Mental Health

  NPD

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1710460126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 CAGUA DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106612",
            "telephone_number": "323-627-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 CAGUA DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106612",
            "telephone_number": "323-627-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE ROCK THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "323-627-1469",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisela Ea, RN
• Emily Louise Eads, MS OTRL
• Tirsa Eager, CPM
• Eagle Medical Trans, LLC
• Eagle Pointe Dentists and Orthodontics, LLC (Eagle Pointe Dentists and Orthodontics)
• Kimberly Ann Eagle, LPCC
• Eagles Unlimited
• Reba I Eagles, D. O. M.
• Madison Eagley
• Selena Aaliyah Eakes

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

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