National Latino Behavioral Health Association

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NATIONAL LATINO BEHAVIORAL HEALTH ASSOCIATION

Practice address

6555 Robin St
Cochiti Lake, NM 87083-6025

Phone

(505) 980-5156

NPI assigned

Jul 16, 2024

Last updated

Jul 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Fred R. Sandoval, MPA

Title

Executive Director

Phone

(505) 980-5156

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1659119402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1360",
            "city": "PENA BLANCA",
            "state": "NM",
            "postal_code": "870411360",
            "telephone_number": "505-980-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 ROBIN ST",
            "city": "COCHITI LAKE",
            "state": "NM",
            "postal_code": "870836025",
            "telephone_number": "505-980-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL LATINO BEHAVIORAL HEALTH ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-980-5156",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lena Bennet LCSW LLC
• Kristina M March, LPCC
• Isaac Smith-Covarrubias, NRP
• Town of Cochiti Lake
• Sandra J Wise, LMT

• Community/Behavioral Health Agency in Cochiti Lake, NM
• Providers in Cochiti Lake, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.