NPIMap

Organization Active NPI

San Luis Valley Community Mental Health Center

Doing business as San Luis Valley Behavioral Health Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Fork, CO
National Provider Identifier
1003420555
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER
Doing business as
San Luis Valley Behavioral Health Group
Practice address
20 Lodge Dr
South Fork, CO 81154-9670
Phone
(719) 589-3671
NPI assigned
Sep 2, 2020
Last updated
Jan 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Authorized official

Name
Victoria RomeroNPI 1457555278
Title
Ceo
Phone
(719) 589-3671

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU

Addresses

Primary practice location

20 Lodge Dr
South Fork, CO 81154-9670

Mailing address

8745 County Road 9 S
Alamosa, CO 81101-9610
Phone (719) 589-3671

Other names 1

  • San Luis Valley Behavioral Health Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
San Luis Valley Behavioral Health Group39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1003420555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8745 COUNTY ROAD 9 S",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811019610",
            "telephone_number": "719-589-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LODGE DR",
            "city": "SOUTH FORK",
            "state": "CO",
            "postal_code": "811549670",
            "telephone_number": "719-589-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-589-3671"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Luis Valley Behavioral Health Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Luis Valley Behavioral Health Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Fork, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.