Active NPI
Johanna Marie Arvizo, CPSW
- Peer Specialist
- Rio Rancho, NM
National Provider Identifier
1134970908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 1596
- Practice address
- 4100 Barbara Loop SE
Rio Rancho, NM 87124-1000 - Phone
- (505) 702-8547
- NPI assigned
- Mar 29, 2024
- Last updated
- Mar 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 1596 | NM | Primary |
Addresses
Primary practice location
4100 Barbara Loop SE
Rio Rancho, NM 87124-1000
Mailing address
4100 Barbara Loop SE
Rio Rancho, NM 87124-1000
Phone (505) 362-1902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1596 | NM | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Winds Behavioral Health, Inc. | Current | Accepting new patients |
Locations
4100 Barbara Loop SE
Rio Rancho, NM 87124
Phone (505) 702-8547
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Rio Rancho, NM
- NPI 1558799684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1134970908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 BARBARA LOOP SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871241000",
"telephone_number": "505-362-1902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 BARBARA LOOP SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871241000",
"telephone_number": "505-702-8547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARVIZO",
"first_name": "JOHANNA",
"middle_name": "MARIE",
"credential": "CPSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-29",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NM",
"license": "1596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.