BERNALILLO COUNTY (NPI# 1184787400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184787400 |
| Entity Type | Organization |
| Organization Name | BERNALILLO COUNTY |
| Other Organization Name | CHILDREN'S COMMUNITY MENTAL HEALTH CLINIC |
| Practice Address |
5100 2nd St Nw Albuquerque NM 87107-4009 |
| Mailing Address |
Po Box 6506 Albuquerque NM 87197-6506 |
| Practice Telephone | 5053423799 |
| Practice Fax Number | 5053423785 |
| Mailing Telephone | 5053423740 |
| Mailing Fax Number | 5053423785 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. THOMAS SWISSTACK (DIRECTOR) |
| Authorized Official Telephone | 5053423740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 251B00000X | Case Management | 3079 | NM | Agencies |
| X | 251S00000X | Community/Behavioral Health | 3079 | NM | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 88928551 | 05 | |
| NM | LOVELACE COMMERCIAL | 17367 | 01 |
| NM | VALUE OPTIONS | NM600050 | 01 |
| Other Name | Type Code |
|---|---|
| Children's Community Mental Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639489206 | Bernalillo County | Psychologist | 5100 2nd Street Nw, Albuquerque, NM 87107 | 2010-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BERNALILLO COUNTY AFFORDABLE HOUSING NONPROFIT | 1900 Bridge Blvd Sw, Albuquerque, NM 87105-3162 |
| System for Award Management (SAM) Entities | BERNALILLO COUNTY COMMUNITY HEALTH COUNCIL | 220 Adams St Se Ste A, Albuquerque, NM 87108-2886 |
| System for Award Management (SAM) Entities | BERNALILLO COUNTY HOUSING AUTH | 1900 Bridge Blvd Sw, Albuquerque, NM 87105-3162 |
| Street Address |
5100 2ND ST NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87107-4009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124009295 | Justin R Price | Counselor | 5100 2nd St Nw, Albuquerque, NM 87107-4009 | 2005-11-07 |
| 1538547369 | Priscilla Astorga | Case Manager/Care Coordinator | 5100 2nd St Nw, Albuquerque, NM 87107-4009 | 2015-05-13 |
| 1669736856 | Goodrow Family & Youth Institute | Community/Behavioral Health | 5100 2nd St Nw, Albuquerque, NM 87107-4009 | 2012-07-02 |
| 1558653758 | Bernalillo County Youth Services Center | Case Manager/Care Coordinator | 5100 2nd St Nw, Albuquerque, NM 87107-4009 | 2011-05-05 |
| 1740592054 | Bernalillo County Youth Services Center | Physician Assistant | 5100 2nd St Nw, Albuquerque, NM 87107-4009 | 2010-07-02 |
| 1649428855 | Children's Community Mental Health Clinic | Case Management | 5100 2nd St Nw, Albuquerque, NM 87107-4009 | 2008-08-29 |
| 1306902564 | Katherine Mary Gallegos | Social Worker | 5100 2nd St Nw, Albuquerque, NM 87107-4009 | 2006-12-29 |
| 1083777148 | Diane Wagner | Social Worker | 5100 2nd St Nw, Albuquerque, NM 87107-4009 | 2006-12-19 |
| 1295898088 | Stanley K Gray | Case Manager/Care Coordinator | 5100 2nd St Nw, Albuquerque, NM 87107-4009 | 2006-12-19 |
| 1144383266 | Cindy Louise Moritomo | Case Manager/Care Coordinator | 5100 2nd St Nw, Albuquerque, NM 87107-4009 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589785 | Benjamin Argant | Behavior Technician | 331 Candelaria Road North East Suite A, Albuquerque, NM 87107 | 2020-08-20 |
| 1679138861 | Susan Luna, Lpcc LLC | Counselor | 3221 B Candelaria Ne, Albuquerque, NM 87107 | 2019-05-03 |
| 1407310881 | Eleanor Cloe Tibbetts | Speech-Language Pathologist | 7103 4th St. Nw Chatterbox Speech Therapy, Los Ranchos, NM 87107 | 2019-01-30 |
| 1386174829 | Triple D Medical Transportation, LLC. | Secured Medical Transport (VAN) | 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 | 2017-06-18 |
| 1487100715 | Kayleen Weinandt | Community/Behavioral Health | 3301 Los Arboles Ne, Albuquerque, NM 87107 | 2016-08-28 |
| 1811345549 | Inverse Medical, LLC | Non-emergency Medical Transport (VAN) | 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 | 2016-06-03 |
| 1710349220 | Evolv Strong, LLC | Specialist/Technologist | 3201 Candelaria Rd Ne, Albuquerque, NM 87107 | 2016-03-23 |
| 1982072443 | Erik Robinson | Social Worker | 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 | 2015-09-14 |
| 1033505763 | Sam Newmon Ma, Lpcc | Counselor | 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 | 2015-04-09 |
| 1760896203 | Jocelyn Fiaschetti | Social Worker | 7704 4th Street Nw, Albuquerque, NM 87107 | 2014-06-12 |
| Find all providers in zip 87107 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225513013 | World Assistance Network | Case Management | 6001 Sunset Gardens Rd Sw, Albuquerque, NM 87121-3252 | 2018-09-27 |
| 1144754656 | Eight Northern Indian Pueblos | Case Management | 2201 San Pedro Dr Ne Ste 220, Albuquerque, NM 87110-4133 | 2017-04-12 |
| 1982149043 | Professional Case Coordination Services LLC | Case Management | 4401 Aspen Glade Dr Nw, Albuquerque, NM 87114 | 2016-12-28 |
| 1700280161 | Arbor Counseling | Case Management | 2501 San Pedro Dr Ne Ste 203, Albuquerque, NM 87110-4122 | 2014-10-14 |
| 1174861744 | All Faiths Receiving Home | Case Management | 3001 Trellis Dr Nw, Albuquerque, NM 87107-2937 | 2013-01-16 |
| 1144519182 | Enchanted Healing of New Mexico, LLC | Case Management | 122 Bryn Mawr Dr Se, Albuquerque, NM 87106-2210 | 2011-03-30 |
| 1881900579 | Wesley & Edwin, LLC | Case Management | 221 Conchas St Ne, Albuquerque, NM 87123-2703 | 2010-08-19 |
| 1760795306 | Unique Opportunities Case Management | Case Management | 2325 San Pedro Dr Ne Ste 2d, Albuquerque, NM 87110-4120 | 2010-07-26 |
| 1063741254 | Medview | Case Management | 404 Solano Dr Se, Albuquerque, NM 87108-2652 | 2009-12-17 |
| 1831424050 | Gregory T. Lyles-davis | Case Management | 632 Chama St Se Apt A, Albuquerque, NM 87108-3963 | 2009-10-06 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87107 |
Please comment or provide details below to improve the information on BERNALILLO COUNTY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.