Santa Ana Pueblo

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SANTA ANA PUEBLO

Practice address

02 Dove Rd
Santa Ana Pueblo, NM 87004-5906

Phone

(505) 771-6759

NPI assigned

Jan 12, 2023

Last updated

Jan 24, 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

Troy Campbell, LCSWNPI 1437615564

Title

Health and Human Services Director

Phone

(505) 967-9791

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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.

• Troy Campbell, LCSW

  • Clinical Social Worker
  • Ohkay Owingeh, NM
  • NPI 1437615564
  NPD Authorized official

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1740994854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "02 DOVE RD",
            "city": "SANTA ANA PUEBLO",
            "state": "NM",
            "postal_code": "870045906",
            "telephone_number": "505-771-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "02 DOVE RD",
            "city": "SANTA ANA PUEBLO",
            "state": "NM",
            "postal_code": "870045906",
            "telephone_number": "505-771-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ANA PUEBLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2024-01-24",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "HEALTH AND HUMAN SERVICES DIRECTOR",
        "authorized_official_telephone_number": "505-967-9791",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMP #",
            "identifier": "293781631",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristina.mackoelyn@santaana-nsn.gov",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Dove",
            "city": "Pueblo of Santa Ana",
            "state": "NM",
            "country_code": "US",
            "postal_code": "87004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cameron Harrell, MS

• Community/Behavioral Health Agency in Santa Ana Pueblo, NM
• Providers in Santa Ana Pueblo, 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 Jan 24, 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.