San Luis Valley Community Mental Health Center, Inc.
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Center, CO
NPI 1326865320 · NPPES record last updated Sep 23, 2024
Key facts
- NPI
- 1326865320
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER, INC.
- Practice address
- 260 Worth Street
Center, CO 81125 - Phone
- (719) 589-3671
- NPI assigned
- Sep 23, 2024
- Organization subpart
- No
Authorized official
- Name
- Kyle Turnwall
- Title
- Chief Financial Officer
- Phone
- (719) 589-3671
Other NPIs on the same Medicare enrollment 20
Corporate family (same tax ID) 38
Practitioners 14
-
Susan Graham, LCSW
-
Amy Strasser-Garcia, LPC
-
Aaliyah S Duran, LPCC
-
Whitney Glenn, LPC
-
Albert Gonzales, LPC / LAC
-
Hillary L.B. Nipple, LCSW
-
Bonnie Ortega, LPC, CAC III
-
Adela M Valencia Lucero, LPCC
-
Jeffrey Wallace, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051025001036 | CO | Part B Supplier - Clinic/Group Practice | 0345267779 |
Receives reassigned benefits from 43 practitioners 20 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Alamosa, CO; Antonito, CO; Center, CO; Del Norte, CO; Fort Garland, CO; La Jara, CO; Monte Vista, CO; San Luis, CO… |
National Provider Directory
- Tax ID family
- San Luis Valley Behavioral Health Group
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
260 Worth Street
Center, CO 81125
Mailing address
8745 County Road 9 S
Alamosa, CO 81101-9610
Phone (719) 589-3671
Other names
- San Luis Valley Behavioral Health Group
Other providers in Center, CO
- Connie Keiser
- Denise I Lobato
- San Luis Valley Community Mental Health Center
- San Luis Valley Community Mental Health Center
- San Luis Valley Community Mental Health Center
- Town of Center Fire Protection
- Valley-Wide Health Systems, Inc
- Valley-Wide Health Systems, Inc
All providers in Center, CO · Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.