Individual provider Active NPI

Mikayla Bah Tinney

  • Social Worker
  • Tijeras, NM
National Provider Identifier
1215713664
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SWB-2026-1187 Issued in NM
Practice address
10 Calle Libra CT
Tijeras, NM 87059-7372
Phone
(505) 670-4174
NPI assigned
Sep 1, 2023
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SWB-2026-1187 NM Primary

Addresses

Primary practice location

10 Calle Libra CT
Tijeras, NM 87059-7372

Mailing address

10 Calle Libra CT
Tijeras, NM 87059-7372
Phone (505) 670-4174

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

LicenseStateTypeSpecialty
SWB-2026-1187NMMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Umoja Behavioral Health PC CurrentSince Sep 5, 2023 Accepting new patients

Locations

3150 Carlisle Blvd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 633-8173

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.

NPI Registry JSON

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1215713664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CALLE LIBRA CT",
            "city": "TIJERAS",
            "state": "NM",
            "postal_code": "870597372",
            "telephone_number": "505-670-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALLE LIBRA CT",
            "city": "TIJERAS",
            "state": "NM",
            "postal_code": "870597372",
            "telephone_number": "505-670-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINNEY",
        "first_name": "MIKAYLA",
        "middle_name": "BAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "SWB-2026-1187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tijeras, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.

Verify at the official NPI Registry.