Organization Active NPI

Tri Peak Behavioral Health LLC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1215762208
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TRI PEAK BEHAVIORAL HEALTH LLC
Practice address
4600 Montgomery Blvd NE Ste B101
Albuquerque, NM 87109-1206
Phone
(505) 920-3054
NPI assigned
Sep 7, 2024
Last updated
May 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Matthias A Dietrich, LPCCNPI 1790347342
Title
Owner
Phone
(505) 920-3054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

4600 Montgomery Blvd NE Ste B101
Albuquerque, NM 87109-1206

Mailing address

6213 Loftus Ave NE
Albuquerque, NM 87109-2715

National Provider Directory

National Provider Directory

Locations

4316 Carlisle Blvd NE
Ste D
Albuquerque, NM 87107
Phone (505) 226-4561

4600 Montgomery Blvd NE
Ste B101
Albuquerque, NM 87109
Phone (505) 300-2635

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1725667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1215762208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6213 LOFTUS AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY BLVD NE STE B101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091206",
            "telephone_number": "505-920-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI PEAK BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-07",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "DIETRICH",
        "authorized_official_first_name": "MATTHIAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-920-3054",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 May 27, 2025; 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.