Organization Active NPI

Better Vida Behavioral Health

  • Clinical Social Worker
  • Las Cruces, NM
National Provider Identifier
1396400982
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BETTER VIDA BEHAVIORAL HEALTH
Practice address
4318 Tewa CT
Las Cruces, NM 88011-4348
Phone
(575) 621-4462
NPI assigned
Nov 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Authorized official

Name
Mr. Jose L Valdiviezo, LCSW
Title
Owner Operator
Phone
(575) 621-4462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4318 Tewa CT
Las Cruces, NM 88011-4348

Mailing address

4318 Tewa CT
Las Cruces, NM 88011-4348
Phone (575) 621-4462

Other names 1

  • Better Vida Behavioral Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1396400982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 TEWA CT",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114348",
            "telephone_number": "575-621-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 TEWA CT",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114348",
            "telephone_number": "575-621-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTER VIDA BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "VALDIVIEZO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "575-621-4462",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Better Vida Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.