Jabe Alain Betancourt

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

5312 Rio Bravo Dr Ste 10
Santa Teresa, NM 88008-9210

Phone

(575) 915-1338

NPI assigned

Mar 26, 2024

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• NM Family Services LLC

  • Physical Therapist
  • Santa Teresa, NM
  • NPI 1649697657

  Community Health Worker

  NPD
• NM Integrated Solutions

  • Multi-Specialty Clinic/Center
  • Las Cruces, NM
  • NPI 1063147270

  Community Health Worker

  NPD
• NM Family Services LLC

  • Psychologist
  • Sunland Park, NM
  • NPI 1225426356
  NPD (past)

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1831949338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2523",
            "city": "SUNLAND PARK",
            "state": "NM",
            "postal_code": "880632523",
            "telephone_number": "575-915-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5312 RIO BRAVO DR STE 10",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089210",
            "telephone_number": "575-915-1338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Missouri Ave Ste 22",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880115062",
            "country_code": "US",
            "telephone_number": "575-915-1338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5690 Santa Teresita Dr Ste A1",
            "address_purpose": "LOCATION",
            "city": "Santa Teresa",
            "state": "NM",
            "postal_code": "880089211",
            "country_code": "US",
            "telephone_number": "575-915-1338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "JABE",
        "middle_name": "ALAIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Allyse Barrera, MSN, APRN, PMHNP-BC
• David Richard Bean
• Maria Theresa Becerra, FNP
• Christina Beltran
• Loretta Berumen
• Jacqueline Arlet Betancourt
• Bienestar Family Counseling Center, LLC
• Heather Blain
• Kevin R Blain
• Christina Estrellita Blanco, RNC, WHCNP

• Community Health Worker in Santa Teresa, NM
• Providers in Santa Teresa, NM by specialty
• Community Health Worker in New Mexico

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