Healthcare Provider Details

I. General information

NPI: 1992500094
Provider Name (Legal Business Name): THE GOLD STANDARD MENTAL HEALTH INSTITUTE, P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 LADERA RD
SANTA FE NM
87508-8301
US

IV. Provider business mailing address

30 CHUSCO RD
SANTA FE NM
87508-8779
US

V. Phone/Fax

Practice location:
  • Phone: 505-289-7115
  • Fax:
Mailing address:
  • Phone: 505-289-7115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. JUIANA F RODRIGUEZ
Title or Position: DIRECTOR/ PRESIDENT
Credential: LMFT
Phone: 505-289-7115