NPIMap

Organization Active NPI

Las Cumbres Community Services

  • Community/Behavioral Health Agency
  • Espanola, NM
National Provider Identifier
1053460287
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6652 Issued in NM
Legal business name
LAS CUMBRES COMMUNITY SERVICES
Practice address
404 Hunter St
Espanola, NM 87532-2655
Phone
(505) 753-4123
Fax
(505) 753-6947
NPI assigned
Jan 9, 2007
Last updated
Jul 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Amanda J Bissell, MPH
Title
Coo
Phone
(857) 523-0654

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 6652 NM
Child Mental Illness Respite Care 385HR2055X 6653 NM
Community/Behavioral Health Agency 251S00000X 6652 NM Primary

Addresses

Primary practice location

404 Hunter St
Espanola, NM 87532-2655

Mailing address

102 N Coronado Ave
Espanola, NM 87532-2700
Phone (857) 523-0654

Other identifiers 2

IdentifierTypeStateIssuer
1053460287MedicaidNM
E7436MedicaidNM

Other names 1

  • Las Cumbres Learning Services Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Las Cumbres Community Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

102 N Coronado Ave
Espanola, NM 87532
Phone (505) 629-1813

404 Hunter St
Espanola, NM 87532
Phone (505) 753-4123

Practitioners & affiliated clinicians

Practitioners 47

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.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1053460287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N CORONADO AVE",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322700",
            "telephone_number": "857-523-0654",
            "fax_number": "505-753-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 HUNTER ST",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322655",
            "telephone_number": "505-753-4123",
            "fax_number": "505-753-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS CUMBRES COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "BISSELL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "857-523-0654",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NM",
            "license": "6652",
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "NM",
            "license": "6653",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "6652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053460287",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E7436",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Cumbres Learning Services",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Las Cumbres Learning Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Espanola, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.