JADE THERAPY, LLC - NPI 1922519735 - Clinic/Center in Los Alamos, NM

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

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About Jade Therapy, Llc NPPES

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

JADE THERAPY, LLC (NPI 1922519735) is a healthcare organization registered as a mental health (including community mental health center) in Los Alamos, New Mexico and active in the NPI registry since October 2017. The organization maintains a secondary practice location in Santa Fe and lists Claire Julia Wood, Partner, as its authorized official.

NPPES Registry Identity

NPI1922519735

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameJADE THERAPY, LLC

Location Address1505 15TH ST STE CLos Alamos, NM 87544-3000

Mailing Address1006 Paseo De La CumaSanta Fe, NM 87501-1221 · (505) 692-9513

Phone(505) 692-9513

Organization SubpartNo

Authorized OfficialClaire Julia WoodPartner · (505) 692-9513

Enumeration DateOctober 19, 2017

Last NPPES UpdateAugust 19, 20214 updates tracked since enumeration

NPPES CertifiedAugust 19, 2021

✔ NPI 1922519735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

License✔ Licensed in NM · 0189841

1505 15TH ST STE C, Los Alamos, NM 87544

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Secondary Practice Location 1

Location 11006 Paseo De La CumaSanta Fe, NM 87501-1221 · Phone (505) 692-9513

Other Providers at the Same Location NPPES 6

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

MR. MICHAEL ANGELO LOBATO M.A.

Counselor