NPIMap

Organization Active NPI

New Mexico Wellness

  • Community/Behavioral Health Agency
  • Rio Rancho, NM
National Provider Identifier
1760121370
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEW MEXICO WELLNESS
Practice address
4210 Meadowlark LN SE
Rio Rancho, NM 87124-1021
Phone
(505) 737-1858
NPI assigned
Jun 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Authorized official

Name
Melonie Bacoccini
Title
Owner
Phone
(505) 362-0758

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Community/Behavioral Health Agency 251S00000X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

4210 Meadowlark LN SE
Rio Rancho, NM 87124-1021

Mailing address

4210 Meadowlark LN SE
Rio Rancho, NM 87124-1021
Phone (505) 737-1858

Other practice location 1

1333 Paseo Del Pueblo Sur
Taos, NM 87571-5972
Phone (575) 224-6320

Other identifiers 1

IdentifierTypeStateIssuer
35808861MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
New Mexico Wellness4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1760121370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 MEADOWLARK LN SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241021",
            "telephone_number": "505-737-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 MEADOWLARK LN SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241021",
            "telephone_number": "505-737-1858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Paseo Del Pueblo Sur",
            "address_purpose": "LOCATION",
            "city": "Taos",
            "state": "NM",
            "postal_code": "875715972",
            "country_code": "US",
            "telephone_number": "575-224-6320",
            "fax_number": "505-988-7328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW MEXICO WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "BACOCCINI",
        "authorized_official_first_name": "MELONIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-362-0758"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35808861",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.

Verify at the official NPI Registry.