Rise Womens Self Recovery LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

RISE WOMENS SELF RECOVERY LLC

Practice address

507 W Pueblo Dr
Espanola, NM 87532-2508

Phone

(505) 484-9154

NPI assigned

Jul 22, 2020

Organization subpart

No

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

Authorized official

Name

Michelle Peixinho, LMSWNPI 1487825204

Title

Therapist

Phone

(505) 484-9154

Specialties & licenses 1

Addresses

Practitioners 1

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

• Michelle Peixinho, LMSW, LM, CPM

  • Clinical Social Worker
  • Espanola, NM
  • NPI 1487825204
  NPD Authorized official

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1992313274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "CHIMAYO",
            "state": "NM",
            "postal_code": "875220305",
            "telephone_number": "505-484-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 W PUEBLO DR",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322508",
            "telephone_number": "505-484-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE WOMENS SELF RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "PEIXINHO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "505-484-9154",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rio Arriba County
• Rio Arriba County
• Rio Arriba County HHS
• Rio Arriba Health and Human Services
• Autumn Rios, LMFT
• Andria Lannette Ritchie, LPN
• Anna Maria Rivera, O.T.
• Dolores Rivera, CSW
• Robert J Manzanares DDS PC
• Rocky Mountain Clinics, LLC

• Adult Mental Health Clinic/Center in Espanola, NM
• Providers in Espanola, NM by specialty
• Adult Mental Health Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.