MEDICARE: ECOTHERAPY NM LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1174476097
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ECOTHERAPY NM LLC

Provider Business Mailing Address
First Line	:	3 CUESTA LN
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87508-8331
Country	:	US
Telephone Number	:	213-537-8070
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 LENA ST
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-3891
Country	:	US
Telephone Number	:	213-537-8070
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MATTHEW KLEPPER
Credential	:	MA LPCC
Telephone Number	:	213-537-8070

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

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Directions to “ECOTHERAPY NM LLC ” Practice Location

Language	Start Address	Practice Location

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