Triston Shane Eriacho, LSAA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Pine Hill, NM
NPI 1023934379 · NPPES record last updated Jun 29, 2026
Key facts
- NPI
- 1023934379
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CTB-2023-0738 (NM)
- Practice address
- Bia RT. 125 Behavioral Health Road
Pine Hill, NM 87357 - Phone
- (505) 775-3353
- Fax
- (505) 775-3630
- NPI assigned
- Jun 29, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CTB-2023-0738 | NM | Yes |
Addresses
Primary practice location
Bia RT. 125 Behavioral Health Road
Pine Hill, NM 87357
Mailing address
PO Box 490
Pinehill, NM 87357-0490
Phone (505) 775-3353
Other providers in Pine Hill, NM
- Pearl A Alonzo
- Gracie Apachito
- Arlene Leola Blanton
- Myeshia La'Tway Carroll
- William Lloyd Cloud Jr.
- Ivan John Christov Nicolov
- Michael John Nolan
- Pine Hill Health Center
- Ramah Navajo School Board, Inc
- Christine Thomas Roper
All providers in Pine Hill, NM · Addiction (Substance Use Disorder) Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.