NPIMap

Organization Active NPI

La Ventana Behavioral Health, LLC

  • Adult Mental Health Clinic/Center
  • Las Cruces, NM
National Provider Identifier
1821575671
Registry record updated Dec 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
CNP-02160 Issued in NM
Legal business name
LA VENTANA BEHAVIORAL HEALTH, LLC
Practice address
1990 E Lohman Ave Ste a
Las Cruces, NM 88001-3117
Phone
(575) 522-4602
Fax
(575) 522-2263
NPI assigned
Jul 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2023

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

Authorized official

Name
Ms. Lorena Garcia, CNPNPI 1457694606
Title
Provider/Owner
Phone
(575) 522-4602

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X CNP-02160 NM Primary

Addresses

Primary practice location

1990 E Lohman Ave Ste a
Las Cruces, NM 88001-3117

Mailing address

1990 E Lohman Ave Ste a
Las Cruces, NM 88001-3117
Phone (575) 522-4602

Other identifiers 1

IdentifierTypeStateIssuer
79559247MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181204003356 NM Part B Supplier - Clinic/Group Practice 7810231750 Receives reassigned benefits from 5 practitioners
Practice locations: Las Cruces, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702166400000",
    "number": "1821575671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 E LOHMAN AVE STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013117",
            "telephone_number": "575-522-4602",
            "fax_number": "575-522-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 E LOHMAN AVE STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013117",
            "telephone_number": "575-522-4602",
            "fax_number": "575-522-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA VENTANA BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2023-12-10",
        "certification_date": "2023-12-10",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "575-522-4602",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NM",
            "license": "CNP-02160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79559247",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.