NPIMap

Organization Active NPI

Breena S. Tafoya & Associates, LLC

Doing business as Tafoya & Associates Behavioral Health

  • Professional Counselor
  • Las Cruces, NM
National Provider Identifier
1083874903
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BREENA S. TAFOYA & ASSOCIATES, LLC
Doing business as
Tafoya & Associates Behavioral Health
Practice address
715 E Idaho Ave Ste 2E
Las Cruces, NM 88001-4701
Phone
(575) 556-9585
Fax
(575) 556-9456
NPI assigned
Jun 13, 2008
Last updated
Sep 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Breena S. TafoyaNPI 1851439475
Title
Ceo
Phone
(575) 556-9585

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

715 E Idaho Ave Ste 2E
Las Cruces, NM 88001-4701

Mailing address

715 E Idaho Ave Ste 2E
Las Cruces, NM 88001-4701
Phone (575) 556-9585

Other identifiers 1

IdentifierTypeStateIssuer
11532319MedicaidNM

Other names 1

  • Tafoya & Associates Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090421000755 NM Part B Supplier - Clinic/Group Practice 3476600800 Receives reassigned benefits from 4 practitioners
Practice locations: Las Cruces, NM

National Provider Directory

National Provider Directory

Locations

650 Montana Ave
Ste C
Las Cruces, NM 88001
Phone (505) 525-2425

715 E Idaho Ave
Ste 2A
Las Cruces, NM 88001
Phone (575) 666-9585

715 E Idaho Ave
Ste 2E
Las Cruces, NM 88001
Phone (575) 556-9585

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1083874903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E IDAHO AVE STE 2E",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880014701",
            "telephone_number": "575-556-9585",
            "fax_number": "575-556-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E IDAHO AVE STE 2E",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880014701",
            "telephone_number": "575-556-9585",
            "fax_number": "575-556-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREENA S. TAFOYA & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "TAFOYA",
        "authorized_official_first_name": "BREENA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-556-9585"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11532319",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tafoya & Associates Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.