Micah Birdshire LLC

Primary specialty

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

Legal business name

MICAH BIRDSHIRE LLC

Doing business as

Cottonwood Canyon Counseling

Practice address

14 Vista Precioso
Santa Fe, NM 87507-3450

Phone

(505) 226-2022

NPI assigned

Mar 27, 2023

Organization subpart

No

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

Authorized official

Name

Micah Birdshire, MA, LPCNPI 1821471129

Title

Owner

Phone

(303) 919-5700

Specialties & licenses 1

Addresses

Other names 1

• Cottonwood Canyon Counseling Doing business as

Locations

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.

• Micah Lynn Birdshire, LPC (CO); LPCC (NM)

  • Professional Counselor
  • Santa Fe, NM
  • NPI 1821471129
  NPD Authorized official

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1891498994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 LLANO ST STE B-1412",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055415",
            "telephone_number": "505-226-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 VISTA PRECIOSO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073450",
            "telephone_number": "505-226-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICAH BIRDSHIRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-25",
        "status": "A",
        "authorized_official_last_name": "BIRDSHIRE",
        "authorized_official_first_name": "MICAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-919-5700",
        "authorized_official_credential": "MA, LPC"
    },
    "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": [
        {
            "organization_name": "Cottonwood Canyon Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathrin Meyer, LMT
• Adriana Meyerovitz, MS, CGC
• Cynthia Lois Meyers, RPH
• Daniel M Meyers, DDS, MS
• Andrea Meza
• Michael D Palestine MD PC
• Michael D. Herrera, O.D., P.C. (Dr. Michael D. Herrera)
• Michael H Mason DDS PA
• Michael L. Rothman, M.D., P.C.
• Michael R Jones Therapy

• 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 Mar 27, 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.