Ascending Roots Therapy Studio, Llc is a medicare enrolled mental health clinic (Counselor - Mental Health) in San Jose, New Mexico. The current practice location for Ascending Roots Therapy Studio, Llc is 10 N. Cliff Rd, San Jose, New Mexico. For appointments, you can reach them via phone at (505) 660-1016. The mailing address for Ascending Roots Therapy Studio, Llc is Po Box 38, San Jose, New Mexico and phone number is (505) 660-1016.
Ascending Roots Therapy Studio, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1467185363. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (505) 660-1016.
Yes. This clinic participates in medicare program and accept medicare insurance.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
Ascending Roots Therapy Studio, Llc Po Box 38 San Jose NM 87565-0038 Ph: (505) 660-1016
Ascending Roots Therapy Studio, Llc 10 N. Cliff Rd San Jose NM 87565-8756 Ph: (505) 660-1016
NPI Details:
NPI Number
1467185363
Provider Enumeration Date
07/07/2022
Last Update Date
02/27/2024
Certification Date
02/27/2024
Medicare PECOS Information:
Medicare PECOS PAC ID
7315390663
Medicare Enrollment ID
O20240202000770
Medical Identifiers
Medical identifiers for Ascending Roots Therapy Studio, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1467185363
NPI
-
NPPES
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
101Y00000X
Counselor
(* (Not Available))
Secondary
101YA0400X
Counselor - Addiction (substance Use Disorder)
(* (Not Available))
Secondary
101YM0800X
Counselor - Mental Health
(* (Not Available))
Primary
101YP2500X
Counselor - Professional
(* (Not Available))
Secondary
221700000X
Art Therapist
(* (Not Available))
Secondary
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ascending Roots Therapy Studio, Llc acts as a billing entity for following providers: