Active NPI
Mesa Path Behavioral and Wellness LLC
- Community/Behavioral Health Agency
- Albuquerque, NM
National Provider Identifier
1194673772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MESA PATH BEHAVIORAL AND WELLNESS LLC
- Practice address
- 618 Manzano St NE
Albuquerque, NM 87110-6302 - Phone
- (602) 706-2380
- NPI assigned
- Mar 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mattie Gaffney
- Title
- Ceo
- Phone
- (602) 706-2380
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | |||
| Behavior Analyst | 103K00000X | |||
| Social Worker | 104100000X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
618 Manzano St NE
Albuquerque, NM 87110-6302
Mailing address
618 Manzano St NE
Albuquerque, NM 87110-6302
Phone (602) 706-2380
National Provider Directory
National Provider DirectoryLocations
618 Manzano St NE
Albuquerque, NM 87110
Phone (505) 925-4353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774569600000",
"number": "1194673772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 MANZANO ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871106302",
"telephone_number": "602-706-2380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 MANZANO ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871106302",
"telephone_number": "602-706-2380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MESA PATH BEHAVIORAL AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-19",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A",
"authorized_official_last_name": "GAFFNEY",
"authorized_official_first_name": "MATTIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-706-2380"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.