NPIMap

Organization Active NPI

Traa Group LLC

Doing business as Viibe Wellness Center

  • Clinical Social Worker
  • Las Cruces, NM
National Provider Identifier
1508221938
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
X-09387 Issued in NM
Legal business name
TRAA GROUP LLC
Doing business as
Viibe Wellness Center
Practice address
2906 Hillrise Dr
Las Cruces, NM 88011
Phone
(575) 652-3646
Fax
(575) 288-1625
NPI assigned
Dec 30, 2015
Last updated
Jul 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Tally MayNPI 1881823706
Title
Owner
Phone
(575) 652-3646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X CNP-02575 NM
Clinical Social Worker 1041C0700X X-09387 NM Primary

Addresses

Primary practice location

2906 Hillrise Dr
Las Cruces, NM 88011

Mailing address

2906 Hillrise Dr
Las Cruces, NM 88011-4702
Phone (575) 652-3646

Other identifiers 1

IdentifierTypeStateIssuer
96774720MedicaidNM

Other names 1

  • VIIBE WELLNESS CENTER Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1508221938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 HILLRISE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114702",
            "telephone_number": "575-652-3646",
            "fax_number": "575-288-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 HILLRISE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "575-652-3646",
            "fax_number": "575-288-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAA GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "TALLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-652-3646"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NM",
            "license": "CNP-02575",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "X-09387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96774720",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIIBE WELLNESS CENTER",
            "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 Jul 19, 2016; 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.