Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Laurissa Bustillos, MS

Individual provider Marriage & Family Therapist · NPI 1871007138

Laurissa Bustillos, MS is a Marriage and Family Therapist in Santa Fe, New Mexico. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in New Mexico.

Years since qualifying
9
Licensed in
NM
In the registry since
2017
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

2504 Camino Entrada
Santa Fe, NM 87507-4851
Phone: (505) 471-4985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence T-0193001 (NM)

Record details

NPI number1871007138
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorYes
NPI enumeratedNovember 24, 2017
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024
Mailing address5207 Via Del Sol, Santa Fe, NM 87507-3638

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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