Organization Active NPI

Luna Nueva Mental Health, LLC

  • Clinical Social Worker
  • San Marcos, TX
National Provider Identifier
1477125557
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LUNA NUEVA MENTAL HEALTH, LLC
Practice address
102 Suttles Ave
San Marcos, TX 78666-5015
Phone
(830) 402-4186
NPI assigned
Jul 16, 2021
Last updated
Mar 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Patricia DehoyosNPI 1770021636
Title
Owner
Phone
(505) 226-5525

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

102 Suttles Ave
San Marcos, TX 78666-5015

Mailing address

2723 Cinnamon Teal
New Braunfels, TX 78130-1256
Phone (512) 925-4037

National Provider Directory

National Provider Directory

Locations

4111 Barbara Loop SE
Ste E1
Rio Rancho, NM 87124
Phone (505) 219-1973

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": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1477125557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 CINNAMON TEAL",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781301256",
            "telephone_number": "512-925-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SUTTLES AVE",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665015",
            "telephone_number": "830-402-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA NUEVA MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "DEHOYOS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-226-5525"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.