NPIMap

Organization Active NPI

Star Mountain Therapy, LLC

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1780200915
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
STAR MOUNTAIN THERAPY, LLC
Practice address
45 Vereda Corta
Santa Fe, NM 87507-9556
Phone
(213) 284-9005
NPI assigned
Jun 23, 2020
Last updated
May 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Mrs. Heather Marie Rubens, LCSW, MPHNPI 1376787622
Title
LCSW/ Therapist
Phone
(213) 284-9005

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

45 Vereda Corta
Santa Fe, NM 87507-9556

Mailing address

45 Vereda Corta
Santa Fe, NM 87507-9556
Phone (213) 284-9005

Other identifiers 1

IdentifierTypeStateIssuer
31121071MedicaidNM

Other names 1

  • none Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1780200915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 VEREDA CORTA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875079556",
            "telephone_number": "213-284-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 VEREDA CORTA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875079556",
            "telephone_number": "213-284-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MOUNTAIN THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "RUBENS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LCSW/ THERAPIST",
        "authorized_official_telephone_number": "213-284-9005",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, MPH"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31121071",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 4, 2023; 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.