Brain-Body-Spirit- LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BRAIN-BODY-SPIRIT- LLC

Practice address

7 Gallina Peak
Santa Fe, NM 87508-1439

Phone

(720) 470-7980

NPI assigned

Nov 12, 2021

Organization subpart

No

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

Authorized official

Name

Lia Billington, PHDNPI 1265752554

Title

Owner

Phone

(720) 470-7980

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 1

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

• Lia Billington, PHD

  • Clinical Psychologist
  • Santa Fe, NM
  • NPI 1265752554
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1730845843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12128 W COOPER DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801274861",
            "telephone_number": "720-470-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GALLINA PEAK",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875081439",
            "telephone_number": "720-470-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN-BODY-SPIRIT- LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "BILLINGTON",
        "authorized_official_first_name": "LIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-470-7980",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Stephen Bradley, MD
• Mary E Bradshaw, LPCC
• Mary Bradtke, LMHC
• Roisin Michelle Brady
• Brain Injury Services of New Mexico, LLC
• Rebekah Jo Brandon, LMHC
• Lydia Grace Brandt
• Nancy Brandt, MA LISW
• Dean H Branson, DO
• Roosevelt G Brasseur, M.D

• Mental Health Clinic/Center (Including Community Mental Health Center) in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.