Mesa Luna Recovery, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MESA LUNA RECOVERY, LLC

Practice address

620 Roma Ave NW
Albuquerque, NM 87102-2037

Phone

(505) 362-0758

NPI assigned

Mar 11, 2025

Organization subpart

No

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

Authorized official

Name

Jeffrey Holland, LCSW

Title

Owner

Phone

(505) 261-8715

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ambrose Baros, LCSW, LADAC

  • Clinical Social Worker
  • Rio Rancho, NM
  • NPI 1710218516
  NPD

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1831998988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 ROMA AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022037",
            "telephone_number": "505-243-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 ROMA AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022037",
            "telephone_number": "505-362-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA LUNA RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-261-8715",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyle Mershon, RN
• Gregory Mertz, MD
• Mesa Arriba Family Care Home
• Mesa Behavioral Management, Inc.
• Mesa Emergency Group LLC
• Mesa Path Behavioral and Wellness LLC
• Amy Danielle Mesa
• Mesacare Holdings LLC
• Leandra Mescal
• Shyla D. Mesch, DPT

• Community/Behavioral Health Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.