RITA BRAKE (NPI# 1760900096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760900096 |
| Entity Type | Individual |
| Full Name | RITA BRAKE |
| Credential | M.A. LMHC |
| Practice Address |
1460 Trinity Dr Ste 4 Los Alamos NM 87544-4107 |
| Mailing Address |
10 Arroyo Ln Apt B Los Alamos NM 87544-3213 |
| Practice Telephone | 5059838225 |
| Mailing Telephone | 5056959674 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0191181 | NM | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10 Arroyo Ln Apt B, Los Alamos, NM 875443213 | (505) 695-9674 |
| Street Address |
1460 TRINITY DR STE 4 |
| City | LOS ALAMOS |
| State | NM |
| Zip Code | 87544-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679945935 | Zia Home Health | Home Health | 1475 Central Ave., Suite 125, Los Alamos, NM 87544 | 2015-10-27 |
| 1295131167 | Sara Pocernik | Dietitian, Registered | 1450 Iris Street, Los Alamos, NM 87544 | 2014-11-05 |
| 1760824890 | Lisa Renee Marr Lyon | Psychologist | 3917 West Road, Suite 128, Children's Clinic, P.a., Los Alamos, NM 87544 | 2013-07-17 |
| 1558629725 | Rachel Meyer | Dentist | 112 Central Park Square, Los Alamos, NM 87544 | 2012-04-25 |
| 1902183908 | Susana T. Chavarria | Occupational Therapist | 5 Quemazon Pl., Los Alamos, NM 87544 | 2011-11-04 |
| 1881998664 | Dr. Tom Child and Adolescent Medicine | Pediatrics | Los Alamos Medical Center, 3917 West Rd, Suite M250, Los Alamos, NM 87544 | 2011-01-07 |
| 1952565905 | Dawn Judy Barr | Social Worker | 3 Agila Ct, Los Alamos, NM 87544 | 2008-07-17 |
| 1649452129 | Ellen Vandergust Ballard | Dentist | 111 Longview, Suite B-3, White Rock, NM 87544 | 2007-11-27 |
| 1629290283 | Wildwind Dental | Dentist | 111 Longview Drive, Suite B3, Los Alamos, NM 87544 | 2007-05-03 |
| 1255407342 | Sarah Sue Teasdale | Counselor | 1362 C Trinity Dr, Los Alamos, NM 87544 | 2006-11-28 |
| Find all providers in zip 87544 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124319231 | Steven Koch | Counselor | 1505 15th St, Suite C, Los Alamos, NM 87544-3000 | 2011-04-22 |
| 1023252467 | Teisha Kay Caldwell | Counselor | 1505 15th St, Los Alamos, NM 87544-3000 | 2009-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003517 | Megan Aileen Rafferty | Counselor | 1564 Trujillo Rd. S.w., Albuquerque, NM 87105-2857 | 2020-11-02 |
| 1851901243 | David A Weichbrodt LLC | Counselor | 9412 Las Calabazillas Rd Ne, Albuquerque, NM 87111-2540 | 2020-07-31 |
| 1346868882 | Brianna Brush | Counselor | 1945 Amis Ave, Las Cruces, NM 88005-1649 | 2020-07-10 |
| 1568080042 | Cyd Davis-hubler LLC | Counselor | 9301 Indian School Rd Ne Ste 200f, Albuquerque, NM 87112-2884 | 2020-07-10 |
| 1568089225 | Wild Rose Healing LLC | Counselor | 4012 Comanche Rd Ne, Albuquerque, NM 87110-1081 | 2020-06-29 |
| 1477178762 | Nancy Mcdonald | Counselor | 1876 Camino Lumbre, Santa Fe, NM 87505-5612 | 2020-06-11 |
| 1922621986 | Wethree | Counselor | 36 Aventura Rd, Santa Fe, NM 87508-8744 | 2020-05-26 |
| 1891318101 | Candace Michelle Garcia | Counselor | 6011 Arroyo Dr, Farmington, NM 87402-5366 | 2020-05-20 |
| 1073134011 | Superhealth, Inc. | Counselor | 19 Lumbre Del Sol, Espanola, NM 87532-6701 | 2020-04-30 |
| 1255966644 | Roots Eco-therapy, LLC | Counselor | 8 Moots Ct, Tijeras, NM 87059-7004 | 2020-03-06 |
| Find all providers with the same taxonomy | ||||
| City | LOS ALAMOS |
| Zip Code | 87544 |
Please comment or provide details below to improve the information on RITA BRAKE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.