Bienestar Family Counseling Center, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0128131 Issued in NM

Legal business name

BIENESTAR FAMILY COUNSELING CENTER, LLC

Practice address

4950 McNutt Rd
Santa Teresa, NM 88008-9621

Phone

(915) 203-5103

Fax

(575) 541-3669

NPI assigned

Mar 20, 2012

Last updated

Mar 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miriam Rivas, LPCCNPI 1811015647

Title

President

Phone

(915) 203-5103

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

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.

• Miriam V Rivas, LPCC, LPC

  • Professional Counselor
  • Santa Teresa, NM
  • NPI 1811015647
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1093080269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1137",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880081137",
            "telephone_number": "915-203-5103",
            "fax_number": "575-541-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 MCNUTT RD",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089621",
            "telephone_number": "915-203-5103",
            "fax_number": "575-541-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIENESTAR FAMILY COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-203-5103",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0128131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Theresa Becerra, FNP
• Christina Beltran
• Loretta Berumen
• Jabe Alain Betancourt
• Jacqueline Arlet Betancourt
• Heather Blain
• Kevin R Blain
• Christina Estrellita Blanco, RNC, WHCNP
• Tomas Bravo Jr
• Yesenia Maria Bravo

• Professional Counselor in Santa Teresa, NM
• Providers in Santa Teresa, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.