Organization Active NPI

The Growing Edge of Santa Fe, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Fe, NM
National Provider Identifier
1750090908
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THE GROWING EDGE OF SANTA FE, LLC
Practice address
1409 Luisa St Ste D2
Santa Fe, NM 87505-7002
Phone
(505) 204-3424
NPI assigned
Nov 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Kathryn RiceNPI 1730240391
Title
Owner/Mental Health Therapist
Phone
(505) 469-9259

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1409 Luisa St Ste D2
Santa Fe, NM 87505-7002

Mailing address

1409 Luisa St Ste D2
Santa Fe, NM 87505-7002

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shannan@ppcasantafe.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240319002696 NM Part B Supplier - Clinic/Group Practice 9133594500 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Fe, NM

National Provider Directory

National Provider Directory

Locations

1409 Luisa St
Ste D2
Santa Fe, NM 87505
Phone (505) 204-3424

Practitioners & affiliated clinicians

Practitioners 2

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": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1750090908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 LUISA ST STE D2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 LUISA ST STE D2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057002",
            "telephone_number": "505-204-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GROWING EDGE OF SANTA FE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2025-01-21",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER/MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "505-469-9259"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannan@ppcasantafe.org",
            "affiliation": "N",
            "address_1": "1409 Luisa St Ste D2",
            "city": "Santa Fe",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875057002",
            "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 Jan 21, 2025; 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.