LAURISSA BUSTILLOS MS
NPI 1871007138
Marriage & Family Therapist in Santa Fe, NM

Q: What is Laurissa Bustillos's NPI number?

The NPI number for Laurissa Bustillos is 1871007138. It was assigned to this individual provider in the NPPES registry on November 24, 2017.

Q: What is Laurissa Bustillos's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since November 24, 2017PECOS Enrolled

2504 CAMINO ENTRADA, SANTA FE, NM 87507(505) 471-4985 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2024, Nov 24, 2017 (2 updates tracked since 2017).

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About Laurissa Bustillos Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURISSA BUSTILLOS MS (NPI 1871007138) is an individual marriage & family therapist in Santa Fe, New Mexico, licensed in New Mexico (T-0193001) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1871007138

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameLAURISSA BUSTILLOSCredential: MS

Location Address2504 CAMINO ENTRADASanta Fe, NM 87507-4851

Mailing Address5207 Via Del SolSanta Fe, NM 87507-3638

Phone(505) 471-4985

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateNovember 24, 2017

Last NPPES UpdateJune 21, 20242 updates tracked since enumeration

NPPES CertifiedJune 21, 2024

✔ NPI 1871007138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in NM · T-0193001

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2504 CAMINO ENTRADA, Santa Fe, NM 87507

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laurissa Bustillos Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648775403

PECOS Enrollment IDI20250924000966

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RALPH E FLORES BMS

Counselor