Tri-County Community Services, Inc
Organization Active NPI Recovery Care Clinic/Center · Taos, NM
NPI 1912995242 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1912995242
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Recovery Care Clinic/Center 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Rodney Gross
- Title
- Executive Director
- Phone
- (575) 758-5857
Practitioners 109
-
Bonnie Allen, CCSS
-
Sharon Apodaca, LMSW
-
Jacqueline Berry, AAHS
-
Sandra Cecelia Bodge, CASE MANAGER
-
Eliza Cain, LMHC
-
Courtney Carabajal, CNP
-
Audrey Chacon, LMSW
-
Rickie Marie Charwood, CASE MANAGER
-
Gail Cimino, LPN
-
Belen Cordova, CS
-
Stephen Derenthal, CCS
-
Lorraine Desgeorges, LPCC
-
Melinda Encinias-Leyba, CASE MANAGER
-
John Stan Espinoza, LADAC
-
Lisa Ferrante, RN
National Provider Directory
Locations
413 Sipapu St
#6952
Taos, NM 87571
Phone (575) 758-5857
413 Sipapu St
Taos, NM 87571
Phone (505) 758-5857
105 Paseo del Canon W
Taos, NM 87571
Phone (575) 751-7037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 3039B1 | NM | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NM | ||
| Recovery Care Clinic/Center | 261QR0800X | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51409 | Medicaid | NM |
Other providers in Taos, NM
- Denise Torrez
- Julia M Torrez
- Simon Torrez Jr.
- Total Health and Wellness Center of Taos Inc
- Kateland Townley
- Teresa Trigiani
- Brittney E Trujillo
- Contessa Melony Trujillo
- David F Trujillo
- Dawn Trujillo
All providers in Taos, NM · Recovery Care Clinic/Center in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.