Organization Active NPI

Tri-County Community Services, Inc

  • Recovery Care Clinic/Center
  • Taos, NM
National Provider Identifier
1912995242
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
TRI-COUNTY COMMUNITY SERVICES, INC
Practice address
105 Paseo del Canon West
Suite a
Taos, NM 87571
Phone
(575) 758-5857
Fax
(575) 758-5860
NPI assigned
Oct 11, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Rodney Gross
Title
Executive Director
Phone
(575) 758-5857

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 3039B1 NM
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NM
Recovery Care Clinic/Center 261QR0800X Primary

Addresses

Primary practice location

105 Paseo del Canon West
Suite a
Taos, NM 87571

Mailing address

PO Box 94508
Albuquerque, NM 87199
Phone (505) 384-7352

Other practice location 1

413 Sipapu Road
6952
Taos, NM 87571
Phone (575) 758-5857 ext. 206

National Provider Directory

National Provider Directory

Locations

220 4th Ave
Raton, NM 87740
Phone (505) 445-2754

413 Sipapu St
Taos, NM 87571
Phone (505) 758-5857

413 Sipapu St
#6952
Taos, NM 87571
Phone (575) 758-5857

Practitioners & affiliated clinicians

Practitioners 109

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.

View all 109

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912995242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94508",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87199",
            "telephone_number": "505-384-7352",
            "fax_number": "505-274-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PASEO DEL CANON WEST",
            "address_2": "SUITE A",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "87571",
            "telephone_number": "575-758-5857",
            "fax_number": "575-758-5860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "413 Sipapu Road",
            "address_2": "6952",
            "address_purpose": "LOCATION",
            "city": "Taos",
            "state": "NM",
            "postal_code": "87571",
            "country_code": "US",
            "telephone_number": "575-758-5857 x206",
            "fax_number": "575-758-5860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRI-COUNTY COMMUNITY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "575-758-5857",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NM",
            "license": "3039B1",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.