| Compass Rose Psychotherapy | |
|
36 Aventura Rd Santa Fe NM 87508-8744 | |
| (505) 603-3091 | |
| Not Available |
| Full Name | Compass Rose Psychotherapy |
|---|---|
| Speciality | Social Worker |
| Location | 36 Aventura Rd, Santa Fe, New Mexico |
| Authorized Official Name and Position | Elizabeth A Colson (OWNER/PARTNER) |
| Authorized Official Contact | 5056033091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compass Rose Psychotherapy 7 Avenida Vista Grande B7 Pmb 121 Santa Fe NM 87508-8744 Ph: (505) 603-3091 | Compass Rose Psychotherapy 36 Aventura Rd Santa Fe NM 87508-8744 Ph: (505) 603-3091 |
| NPI Number | 1922621986 |
|---|---|
| Provider Enumeration Date | 05/26/2020 |
| Last Update Date | 07/30/2022 |
| Certification Date | 07/30/2022 |
| Medicare PECOS PAC ID | 3870909724 |
|---|---|
| Medicare Enrollment ID | O20210302000173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922621986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elizabeth A Colson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851708663 PECOS PAC ID: 9133489917 Enrollment ID: I20180216001380 |
| Provider Name | Marta E Townsend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013493063 PECOS PAC ID: 3476964669 Enrollment ID: I20201119000140 |
| Provider Name | Mary Raske |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780920850 PECOS PAC ID: 5294179941 Enrollment ID: I20240221001222 |
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