Blue Lotus Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0086031 Issued in NM

Legal business name

BLUE LOTUS THERAPY LLC

Practice address

10800 Comanche Rd NE Apt 203
Albuquerque, NM 87111-3966

Phone

(575) 538-1127

NPI assigned

Sep 4, 2015

Organization subpart

No

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

Authorized official

Name

Deanna Lasater, LPCC

Title

Counselor

Phone

(575) 538-1127

Specialties & licenses 1

Addresses

Other names 1

• Revolution Counseling Inc Other name

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1962870063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 COMANCHE RD NE APT 203",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113966",
            "telephone_number": "575-538-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 COMANCHE RD NE APT 203",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113966",
            "telephone_number": "575-538-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE LOTUS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "LASATER",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "575-538-1127",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0086031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revolution Counseling Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.