Compostela Community and Family Cultural Institute

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

12732 Issued in NM

Legal business name

COMPOSTELA COMMUNITY AND FAMILY CULTURAL INSTITUTE

Doing business as

CC&Fci

Practice address

1021 Salazar Rd
Taos, NM 87571-8233

Phone

(575) 613-2008

NPI assigned

Sep 11, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Trinidad De Jesus Arguello, PH.D.,LISW, PMHBC-RNNPI 1841242336

Title

Ceo

Phone

(575) 776-2752

Specialties & licenses 3

Addresses

Other identifiers 5

Other names 1

• CC&FCI Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trinidad De Jesus Arguello, RN, LISW, PH.D

  • Clinical Social Worker
  • Taos, NM
  • NPI 1841242336
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1003284654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2173",
            "city": "EL PRADO",
            "state": "NM",
            "postal_code": "875292173",
            "telephone_number": "575-776-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 SALAZAR RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875718233",
            "telephone_number": "575-613-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPOSTELA COMMUNITY AND FAMILY CULTURAL INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "ARGUELLO",
        "authorized_official_first_name": "TRINIDAD",
        "authorized_official_middle_name": "DE JESUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-776-2752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D.,LISW, PMHBC-RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NM",
            "license": "R12314",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "12732",
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NM",
            "license": "R12314",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H6196",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE R12314",
            "identifier": "163W00000X",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841242336",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MHC51409",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "343511902",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CC&FCI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cindy Collyer
• Shayla B Colton
• Common Ground Counseling
• Community Against Violence
• Complete Behavioral Health, LLC
• Bonnie Lee Compton, SCHOOL PSYCHOLOGIST
• Jane Ellen Compton, O.D.
• Anamarie Alexandria Concha, CPSW
• Naomi J Concha, BMS COORDINATOR
• Margaret Anne Conolly, MD

• Community/Behavioral Health Agency in Taos, NM
• Providers in Taos, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.