Complete Behavioral Health, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

COMPLETE BEHAVIORAL HEALTH, LLC

Practice address

105 Bertha Rd Ste a
Taos, NM 87571-7148

Phone

(575) 758-4297

Fax

(575) 751-7237

NPI assigned

Aug 23, 2019

Organization subpart

No

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

Authorized official

Name

Lisaann Torrez

Title

Owner, Credentialing Specialist

Phone

(575) 770-8136

Specialties & licenses 6

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1992352942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2534",
            "city": "RANCHOS DE TAOS",
            "state": "NM",
            "postal_code": "875572534",
            "telephone_number": "575-758-4297",
            "fax_number": "575-751-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BERTHA RD STE A",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875717148",
            "telephone_number": "575-758-4297",
            "fax_number": "575-751-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "TORREZ",
        "authorized_official_first_name": "LISAANN",
        "authorized_official_title_or_position": "OWNER, CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "575-770-8136"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Taos",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "105 Bertha Rd Ste A",
            "city": "Taos",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875717148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sam Coffman
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• Community Against Violence
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• Bonnie Lee Compton, SCHOOL PSYCHOLOGIST
• Jane Ellen Compton, O.D.
• Anamarie Alexandria Concha, CPSW
• Naomi J Concha, BMS COORDINATOR

• Mental Health Clinic/Center (Including Community Mental Health Center) in Taos, NM
• Providers in Taos, NM by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.