Collective Support Solutions, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

COLLECTIVE SUPPORT SOLUTIONS, LLC

Practice address

15 Paseo de San Antonio
Santa Fe, NM 87507-3746

Phone

(505) 231-8578

NPI assigned

Mar 15, 2023

Last updated

Oct 30, 2023By 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

Melissa Marie Mendoza, LCSWNPI 1134788334

Title

Owner & Director

Phone

(505) 231-8578

Specialties & licenses 2

Addresses

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.

• Melissa Marie Mendoza, LMSW

  • Clinical Social Worker
  • Santa Fe, NM
  • NPI 1134788334
  NPD Authorized official

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1780385849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PASEO DE SAN ANTONIO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073746",
            "telephone_number": "505-231-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PASEO DE SAN ANTONIO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875073746",
            "telephone_number": "505-231-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLECTIVE SUPPORT SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER & DIRECTOR",
        "authorized_official_telephone_number": "505-231-8578",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Coker, DPT
• Ellen Cole, RN
• Kermit Andrew Cole, MFT
• Daniel Agee Coles, M.D.
• Justin Colin
• Alexander Collins-Hornyak, DDS
• Cody Collins
• Daniel Allen Collins, M.D.
• Leah Collins, DOM, LMT
• Leigh Collins, RN

• Specialist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.