Organization Active NPI

Thriving Minds Therapy Services-JC Corp

  • Adult Mental Health Clinic/Center
  • Alamogordo, NM
National Provider Identifier
1144982695
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
THRIVING MINDS THERAPY SERVICES-JC CORP
Practice address
906 Virginia Ave
Alamogordo, NM 88310-6763
Phone
(575) 214-9215
NPI assigned
Oct 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Shiheem T Walker
Title
Office Manager
Phone
(575) 415-4950

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

906 Virginia Ave
Alamogordo, NM 88310-6763

Mailing address

906 Virginia Ave Ste B
Alamogordo, NM 88310-6763
Phone (575) 214-9215

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220113002861 NM Part B Supplier - Clinic/Group Practice 4789076142 Receives reassigned benefits from 1 practitioner
Practice locations: Alamogordo, NM

National Provider Directory

National Provider Directory

Locations

906 Virginia Ave
Ste B
Alamogordo, NM 88310
Phone (575) 415-4950

700 1st St
Ste 707
Alamogordo, NM 88310
Phone (575) 415-4950

906 Virginia Ave
#B
Alamogordo, NM 88310
Phone (575) 415-4950

906 Virginia Ave
Alamogordo, NM 88310
Phone (575) 214-9215

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1144982695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 VIRGINIA AVE STE B",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106763",
            "telephone_number": "575-214-9215",
            "fax_number": "575-377-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 VIRGINIA AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106763",
            "telephone_number": "575-214-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVING MINDS THERAPY SERVICES-JC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SHIHEEM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "575-415-4950"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.