Active NPI
Eight Northern Indian Pueblos Council, Inc.
Doing business as New Moon Lodge
- Substance Abuse Rehabilitation Facility
- Ohkay Owingeh, NM
National Provider Identifier
1679007744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- EIGHT NORTHERN INDIAN PUEBLOS COUNCIL, INC.
- Doing business as
- New Moon Lodge
- Practice address
- 579 White Swan Rd
327 Eagle Drive
Ohkay Owingeh, NM 87566 - Phone
- (505) 852-2788
- NPI assigned
- Apr 17, 2017
- Last updated
- Aug 11, 2026
- Organization subpart
- Yes
- Parent organization
- EIGHT NORTHERN INDIAN PUEBLOS COUNCIL, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Troy Campbell, LCSW
- Title
- Director of Behavioral Health
- Phone
- (505) 852-1377
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
579 White Swan Rd
327 Eagle Drive
Ohkay Owingeh, NM 87566
Mailing address
327 Eagle Dr
Ohkay Owingeh, NM 87566-3600
Phone (505) 852-1377
Other names 1
- New Moon Lodge
National Provider Directory
National Provider Directory- Tax ID family
- Eight Northern Indian Pueblos Council Inc
- Part of
- Eight Northern Indian Pueblos Council Inc
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Circle of Life South
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1144754656
-
- Community/Behavioral Health Agency
- Ohkay Owingeh, NM
- NPI 1437275393
-
- Community/Behavioral Health Agency
- Ohkay Owingeh, NM
- NPI 1558668434
-
dba Butterfly Healing Center
- Children's Substance Abuse Rehabilitation Facility
- Taos, NM
- NPI 1790179844
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Taos, NM
- NPI 1831584192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786406400000",
"number": "1679007744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 EAGLE DR",
"city": "OHKAY OWINGEH",
"state": "NM",
"postal_code": "875663600",
"telephone_number": "505-852-1377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "579 WHITE SWAN RD",
"address_2": "327 EAGLE DRIVE",
"city": "OHKAY OWINGEH",
"state": "NM",
"postal_code": "87566",
"telephone_number": "505-852-2788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EIGHT NORTHERN INDIAN PUEBLOS COUNCIL, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EIGHT NORTHERN INDIAN PUEBLOS COUNCIL, INC.",
"enumeration_date": "2017-04-17",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "TROY",
"authorized_official_title_or_position": "DIRECTOR OF BEHAVIORAL HEALTH",
"authorized_official_telephone_number": "505-852-1377",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "New Moon Lodge",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ohkay Owingeh, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.