Jenyce Baca

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

346 Eagle Dr
Ohkay Owingeh, NM 87566-3600

Phone

(505) 852-1377

NPI assigned

Jun 12, 2025

Last updated

Jun 12, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eight Northern Indian Pueblos Council, Inc.

  • Community/Behavioral Health Agency
  • Ohkay Owingeh, NM
  • NPI 1437275393
  NPD
• Eight Northern Indian Pueblos Council, Inc.

  • Community/Behavioral Health Agency
  • Ohkay Owingeh, NM
  • NPI 1558668434
  NPD (past)

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1750276358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 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": "346 EAGLE DR",
            "city": "OHKAY OWINGEH",
            "state": "NM",
            "postal_code": "875663600",
            "telephone_number": "505-852-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACA",
        "first_name": "JENYCE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Campbell, LCSW
• Eight Northern Indian Pueblos Council, Inc.
• Eight Northern Indian Pueblos Council, Inc.
• Eight Northern Indian Pueblos Council, Inc. (New Moon Lodge)
• Melissa Marie Gomez, MD

• Specialist in Ohkay Owingeh, NM
• Providers in Ohkay Owingeh, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.