Aleisa M Smith, LPCC | |
208 Paseo Del Pueblo Sur Unit 204, Taos, NM 87571-5974 | |
(575) 425-5485 | |
Not Available |
Full Name | Aleisa M Smith |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 208 Paseo Del Pueblo Sur Unit 204, Taos, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821616053 | NPI | - | NPPES |
73725773 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (New Mexico) | Secondary |
101YM0800X | Counselor - Mental Health | CTB-2022-0979 (New Mexico) | Primary |
Entity Name | Star Rising Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477244044 PECOS PAC ID: 9830533660 Enrollment ID: O20240220001697 |
Mailing Address | Practice Location Address |
---|---|
Aleisa M Smith, LPCC 208 Paseo Del Pueblo Sur Unit 204, Taos, NM 87571-5974 Ph: (575) 425-5485 | Aleisa M Smith, LPCC 208 Paseo Del Pueblo Sur Unit 204, Taos, NM 87571-5974 Ph: (575) 425-5485 |
Miss Melissa Martinez, CPSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Rotten Tree Road, Taos, NM 87571 Phone: 575-758-7824 Fax: 575-758-3346 | |
Elizabeth Sump, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1337 Gusdorf Road, Suite E, Taos, NM 87571 Phone: 575-752-4297 Fax: 575-751-7237 | |
Amber Bodhani, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 520 Conrad Ln, Taos, NM 87571 Phone: 575-770-8903 | |
Patricia Passino, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 Este Es Rd, Taos, NM 87571 Phone: 575-758-9343 | |
Lindsey M Schreiber, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 412 Sipapu Street, Taos, NM 87571 Phone: 575-737-5533 | |
Anamarie Alexandria Concha, CPSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Paseo Del Pueblo Norte, Taos, NM 87571 Phone: 575-758-2694 Fax: 575-758-5104 | |
Ms. Katherine Sheldon Duff, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1337 Gusdorf Rd, Suite H, Taos, NM 87571 Phone: 505-779-0005 Fax: 505-737-5507 |