Active NPI
Women'S Healing Therapy
- Adult Mental Health Clinic/Center
- Santa Fe, NM
National Provider Identifier
1851961882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- WOMEN'S HEALING THERAPY
- Practice address
- 3 Latir CT
Santa Fe, NM 87508-2192 - Phone
- (575) 693-6132
- NPI assigned
- Jun 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lindsay Fellows Dworak, LMFT
- Title
- LMFT
- Phone
- (575) 693-6132
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
3 Latir CT
Santa Fe, NM 87508-2192
Mailing address
3 Latir CT
Santa Fe, NM 87508-2192
Phone (575) 693-6132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2019 Galisteo St
Ste N5
Santa Fe, NM 87505
Phone (505) 693-6132
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Santa Fe, NM
- NPI 1750514626
-
- Mental Health Counselor
- Clovis, NM
- NPI 1376714246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625011200000",
"number": "1851961882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 LATIR CT",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875082192",
"telephone_number": "575-693-6132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 LATIR CT",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875082192",
"telephone_number": "575-693-6132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMEN'S HEALING THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-30",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A",
"authorized_official_last_name": "DWORAK",
"authorized_official_first_name": "LINDSAY",
"authorized_official_middle_name": "FELLOWS",
"authorized_official_title_or_position": "LMFT",
"authorized_official_telephone_number": "575-693-6132",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jun 30, 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.